NPI 1700348364

Antuan Dejesus

Practitioner Driver Montgomery, AL

Practice location

Address: 3433 S Court St, Montgomery, AL 36105-1607
Phone: (334) 782-0031

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1700348364
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2019
Record last updated: 3 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.