IndividualActive
Brandon Spence
NPI 1417696949 · Driver · Philadelphia, PA
Provider details
- NPI number
- 1417696949
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26051554 (PA)
Specialties & taxonomies
Other Service Providers
Practice location
1990 Ashley St
Philadelphia, PA 19138-2725
Phone: (267) 616-8686
Approximate (ZIP-level) locationGet directions
Mailing address
1990 Ashley St
Philadelphia, PA 19138-2725
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.