IndividualActive
Charlemagne Previlon, DRIVER
NPI 1306483193 · Vehicle Modifications Contractor · Sacramento, CA
Provider details
- NPI number
- 1306483193
- Entity type
- Individual
- Primary specialty
- Vehicle Modifications ContractorOther Service Providers
- Credential
- DRIVER
- Sex
- Male
- Sole proprietor
- Yes
- License
- GNB32019-03411 (CA)
Practice location
4323 Carmelo Oaks Ct
Sacramento, CA 95841-3474
Phone: (916) 532-0058
Mailing address
4323 Carmelo Oaks Ct
Sacramento, CA 95841-3474
Registry dates
- Enumerated
- 2019-11-29
- Last updated
- 2019-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.