Jake Charlie is a Driver based in Tuba City, AZ. Jake Charlie practices in Tuba City, AZ. The NPI Number for Jake Charlie is 1851691638 and holds a License No. CNA999953632 (Arizona).
The current practice location address for Jake Charlie is 167 N. Main Street, Tuba City, AZ and can be reached out via phone at 928-283-2501.
Location: 167 N. Main Street, Tuba City, AZ, 86045-0600
Provider Profile Details
NPI Number
1851691638
Provider Name
Jake Charlie
Credential
Provider Entity Type
Individual
Gender
Male
Address
167 N. Main Street, Tuba City, AZ, 86045-0600
Phone Number
928-283-2501
Fax Number
Provider Enumeration Date
10/27/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
167 N. Main Street
City
State
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
Provider Business Mailing Address Details
Address
167 N. Main Street
City
State
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
CNA999953632 (Arizona)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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