Most Relevant Information
Provider Data
| NPI Number: | 1003500042 |
| Provider Name: | TAVONTE SCURRY |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | TG518752 |
Most Important Dates
| Enumeration Date: | 06/05/2023 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
1088 EASTWAY DR APT 9
YOUNGSTOWN
OH
445054682
Practice Location Phone/Fax
| Phone: | 3307196812 |
| Fax: |
Provider Mailing Location
1088 EASTWAY DR APT 9
YOUNGSTOWN
OH
445054682
Provider Mailing Phone/Fax
| Phone: | 3307196812 |
| Fax: |