Deja Sholk is a Driver based in Fort Bragg, CA. Deja Sholk practices in Ukiah, CA. The NPI Number for Deja Sholk is 1275257610 and holds a License No. D1314463 (California).
The current practice location address for Deja Sholk is 787 Riverside Dr, Ukiah, CA and can be reached out via phone at 951-385-9359.
Location: 787 Riverside Dr, Ukiah, CA, 95437-3207
Provider Profile Details
NPI Number
1275257610
Provider Name
Deja Sholk
Credential
Provider Entity Type
Individual
Gender
Male
Address
787 Riverside Dr, Ukiah, CA, 95437-3207
Phone Number
951-385-9359
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
787 Riverside Dr
City
State
Zip
95482-9606
Phone Number
951-385-9359
Fax Number
Provider Business Mailing Address Details
Address
787 Riverside Dr
City
State
Zip
95482-9606
Phone Number
951-385-9359
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
D1314463 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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