PETRA AGU
Driver
Active
Individual
NPI: 1629518154
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | A6807770 (CA) |
Frequently Asked Questions
NPI 1629518154 is the National Provider Identifier for PETRA AGU, a Driver provider located in Long Beach, CA. This NPI was enumerated on March 2, 2017.
PETRA AGU practices at 1959 CHESTNUT AVE APT 305, Long Beach, CA 90806.
Quick Facts
- NPI
- 1629518154
- Type
- Individual
- Enumerated
- Mar 2, 2017
- Last Updated
- Mar 2, 2017
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