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Mr. Terrance Devorea Johnson
Driver in Anaheim, California
NPI 1265116396

Terrance Devorea Johnson is a Driver based in Anaheim, CA. Terrance Devorea Johnson practices in Anaheim, CA. The NPI Number for Terrance Devorea Johnson is 1265116396 and holds a License No. D3912551 (California).

The current practice location address for Terrance Devorea Johnson is 911 E Mason Ln Unit 13, Anaheim, CA and can be reached out via phone at 714-386-2445.

Location: 911 E Mason Ln Unit 13, Anaheim, CA, 92805-6404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265116396
Provider Name
Terrance Devorea Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
911 E Mason Ln Unit 13, Anaheim, CA, 92805-6404
Phone Number
714-386-2445
Fax Number
Provider Enumeration Date
06/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
911 E Mason Ln Unit 13
City
Anaheim
State
California
Zip
92805-6404
Phone Number
714-386-2445
Fax Number
person
Provider Business Mailing Address Details
Address
911 E Mason Ln Unit 13
City
Anaheim
State
California
Zip
92805-6404
Phone Number
714-386-2445
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D3912551 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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