NPI 1770399123

Watoris Mosley, TRANSPORTER

Practitioner Driver Merrillville, IN

Practice location

Address: 8690 Broadway Ave STE a, Merrillville, IN 46410-7034
Phone: (708) 679-4348

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5370280407 (IN)

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Registry record

NPI: 1770399123
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2024
Record last updated: 9 Dec 2024

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.