RICHARD LEE COLONEL

HAWTHORNE, FL
NPI1033589429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
(Licence: FL  c454752523700)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- RICHARD LEE COLONEL
143 MELROSE LANDING DR
HAWTHORNE, FL 32640-4417
Phone number: 352-642-5085
Mailing Address
-- RICHARD LEE COLONEL
PO BOX 571
HAWTHORNE, FL 32640-0571
Phone number: 352-642-5085