Individual provider · Type 1 NPI

Mike Heshmat Gebrael

Driver · Apple Valley, CA

NPI number 1992052716 Active

Practice location

22617 US Highway 18
Apple Valley, CA 92307-4342

Mailing address

13251 Stanford Dr
Victorville, CA 92392-7247

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XTCP0028493P (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1992052716

Mike Heshmat Gebrael's National Provider Identifier is 1992052716, issued on Aug 10, 2012. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Apple Valley, CA. The record was last updated on Aug 10, 2012.