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Mr. Wallace Tranum JR.
Driver in Deltona, Florida
NPI 1265075865

Wallace Tranum JR. is a Driver based in Deltona, FL. Wallace Tranum JR. practices in Deltona, FL. The NPI Number for Wallace Tranum JR. is 1265075865 and holds a License No. T655898694600 (Florida).

The current practice location address for Wallace Tranum JR. is 415 Golden Arm Rd, Deltona, FL and can be reached out via phone at 407-460-7242.

Location: 415 Golden Arm Rd, Deltona, FL, 32738-8653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265075865
Provider Name
Wallace Tranum JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 Golden Arm Rd, Deltona, FL, 32738-8653
Phone Number
407-460-7242
Fax Number
Provider Enumeration Date
10/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 Golden Arm Rd
City
Deltona
State
Florida
Zip
32738-8653
Phone Number
407-460-7242
Fax Number
person
Provider Business Mailing Address Details
Address
415 Golden Arm Rd
City
Deltona
State
Florida
Zip
32738-8653
Phone Number
407-460-7242
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
T655898694600 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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