Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEKODA DEWAYNE WARE SR.
Active Sole ProprietorMR. DEKODA DEWAYNE WARE SR. is a Transportation Broker healthcare provider located in GARDENA, California. NPI 1669612396 is currently active in the NPPES registry. Verify at CMS.
Transportation Broker · GARDENA, CA
Registration Details
- NPI Number
- 1669612396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2009 (17.499920763001 yrs)
- Last Updated
- Feb 20, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
16921 S WESTERN AVE STE 203GARDENA, CA, 902475250Browse CA providers · Browse ZIP 90247
- Phone
- 3105233225
- Fax
- 3106687185
- Primary Specialty
-
Transportation Broker
347E00000X
- Additional Specialty
- Private Vehicle
- Additional Specialty
- Transportation Broker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.