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Jake Charlie
Driver in Tuba City, Arizona
NPI 1851691638

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. You can also correspond with Jake Charlie through the mailing address at PO BOX 600, TUBA CITY, AZ - 86045-0600 (mailing address contact number: 928-283-2501).

Location: 167 N. Main Street, Tuba City, AZ, 86045-0600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
167 N. Main Street
City
Tuba City
State
Arizona
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
person
Provider Business Mailing Address Details
Address
167 N. Main Street
City
Tuba City
State
Arizona
Zip
86045-0600
Phone Number
928-283-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
CNA999953632 (Arizona)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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