Individual provider · NPI-1
Johnfer Landrum
Private Vehicle · Tuscaloosa, AL
NPI number1831928167
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1831928167
- Entity type
- Individual (NPI-1)
- Name
- Johnfer Landrum
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
5500 18th AveTuscaloosa, AL 35405-3641
Phone 205-219-0138
Mailing address
5500 18th AveTuscaloosa, AL 35405-3641
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