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Eddie Ralph Grijalva
Driver in Bakersfield, California
NPI 1013687722

Eddie Ralph Grijalva is a Driver based in Bakersfield, CA. Eddie Ralph Grijalva practices in Bakersfield, CA. The NPI Number for Eddie Ralph Grijalva is 1013687722 and holds a License No. E3407560 (California).

The current practice location address for Eddie Ralph Grijalva is 1412 17Th St, Bakersfield, CA and can be reached out via phone at 661-293-5426.

Location: 1412 17Th St, Bakersfield, CA, 93301-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013687722
Provider Name
Eddie Ralph Grijalva
Credential
Provider Entity Type
Individual
Gender
Male
Address
1412 17Th St, Bakersfield, CA, 93301-5211
Phone Number
661-293-5426
Fax Number
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1412 17Th St
City
Bakersfield
State
California
Zip
93301-5211
Phone Number
661-293-5426
Fax Number
person
Provider Business Mailing Address Details
Address
1412 17Th St
City
Bakersfield
State
California
Zip
93301-5211
Phone Number
661-293-5426
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
E3407560 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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