Petra Agu is a Driver based in Long Beach, CA. Petra Agu practices in Long Beach, CA. The NPI Number for Petra Agu is 1629518154 and holds a License No. A6807770 (California).
The current practice location address for Petra Agu is 1959 Chestnut Ave Apt 305, Long Beach, CA and can be reached out via phone at 562-443-2255.
Location: 1959 Chestnut Ave Apt 305, Long Beach, CA, 90806-6611
Provider Profile Details
NPI Number
1629518154
Provider Name
Petra Agu
Credential
Provider Entity Type
Individual
Gender
Female
Address
1959 Chestnut Ave Apt 305, Long Beach, CA, 90806-6611
Phone Number
562-443-2255
Fax Number
Provider Enumeration Date
03/02/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1959 Chestnut Ave Apt 305
City
State
Zip
90806-6611
Phone Number
562-443-2255
Fax Number
Provider Business Mailing Address Details
Address
1959 Chestnut Ave Apt 305
City
State
Zip
90806-6611
Phone Number
562-443-2255
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
A6807770 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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