MR. Wallace Tranum JR.

NPI #1265075865 in Deltona, Florida

Provider Information

NPI Number: 1265075865
Entity Type: Individual
Name: MR. Wallace Tranum JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 26, 2019
Last Updated: Oct 26, 2019

Practice Location

Address: 415 GOLDEN ARM RD
City: Deltona
State: Florida
ZIP Code: 32738-8653
Phone: (407) 460-7242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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