CLEMENT N TEDOM
NPI 1033809694
Driver in Fredericksburg, VA
Active since May 08, 2023
About Clement N Tedom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMENT N TEDOM (NPI 1033809694) is an individual driver provider in Fredericksburg, Virginia, licensed in Virginia (B66050191) and active in the NPI registry since May 2023.
NPPES Registry Identity
NPI1033809694
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameCLEMENT N TEDOM
Location Address1039 BAKERSFIELD LNFredericksburg, VA 22401-2783
Mailing Address1039 Bakersfield LnFredericksburg, VA 22401-2783 · (240) 577-0909
Phone(240) 577-0909
Sole ProprietorNo
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1033809694 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in VA · B66050191
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1039 BAKERSFIELD LN, Fredericksburg, VA 22401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033809694, enumerated as an "individual" on May 08, 2023.
The provider is located at 1039 BAKERSFIELD LN FREDERICKSBURG, VA 22401 and the phone number is (240) 577-0909.
Driver with taxonomy code 172A00000X.
