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NPI 1356084206 · Transportation Network Company · Florissant, MO
Provider details
- NPI number
- 1356084206
- Entity type
- Individual
- Primary specialty
- Transportation Network CompanyTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
- Driver172A00000X
Other Service Providers
Practice location
14600 Mondoubleau Ln
Florissant, MO 63034-2314
Phone: (202) 378-4864
Approximate (ZIP-level) locationGet directions
Mailing address
14600 Mondoubleau Ln
Florissant, MO 63034-2314
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2022-04-19
- Certified
- 2022-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.