Timothy De Jurnett
Timothy De Jurnett is a Driver in Long Beach, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
4422 N Banner Dr Apt 4Long Beach, CA 90807-2335
Phone: (323) 849-9809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (CA) |
|---|
Record details
| NPI number | 1811588668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2021 |
| Last updated in NPPES | February 2, 2021 |
| Certification date | February 2, 2021 |
| Mailing address | 4422 N Banner Dr Apt 4, Long Beach, CA 90807-2335 |
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