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Mr. Jerry Sin
Driver in Long Beach, California
NPI 1770643702

Jerry Sin is a Driver based in Long Beach, CA. Jerry Sin practices in Long Beach, CA. The NPI Number for Jerry Sin is 1770643702 and holds a License No. (California).

The current practice location address for Jerry Sin is 1013 E Luray Street, Long Beach, CA and can be reached out via phone at 562-728-1791 and via fax at 562-728-1791.

Location: 1013 E Luray Street, Long Beach, CA, 90807-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770643702
Provider Name
Jerry Sin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1013 E Luray Street, Long Beach, CA, 90807-1019
Phone Number
562-728-1791
Fax Number
562-728-1791
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN00845F 05 CA
institution
Provider Business Practice Location Address Details
Address
1013 E Luray Street
City
Long Beach
State
California
Zip
90807-1019
Phone Number
562-728-1791
Fax Number
562-728-1791
person
Provider Business Mailing Address Details
Address
1013 E Luray Street
City
Long Beach
State
California
Zip
90807-1019
Phone Number
562-728-1791
Fax Number
562-728-1791
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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