TIMOTHY DE JURNETT

Driver

Active Individual
NPI: 1811588668

Practice Address

4422 N BANNER DR APT 4
Long Beach, CA 90807

Phone: (323) 849-9809

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1811588668 is the National Provider Identifier for TIMOTHY DE JURNETT, a Driver provider located in Long Beach, CA. This NPI was enumerated on February 2, 2021.
TIMOTHY DE JURNETT practices at 4422 N BANNER DR APT 4, Long Beach, CA 90807.

Quick Facts

NPI
1811588668
Type
Individual
Enumerated
Feb 2, 2021
Last Updated
Feb 2, 2021

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