My Personal Driver

NPI #1215573365 in Bridgeport, Connecticut

Provider Information

NPI Number: 1215573365
Entity Type: Organization
Organization Name: My Personal Driver
Primary Specialty: Private Vehicle
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 47 WOODLAWN AVE
City: Bridgeport
State: Connecticut
ZIP Code: 06606-2962
Phone: (860) 600-3132

Authorized Official

Name: MR. TYRONE CRADDOCK
Title: OWNER
Phone: (860) 600-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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