BRENDAN WADLOW

PHOENIX, AZ
NPI1063106821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
BRENDAN WADLOW
4410 N 99TH AVE APT 2072
PHOENIX, AZ 85037-5944
Phone number: 928-232-0764
Mailing Address
BRENDAN WADLOW
4410 N 99TH AVE APT 2072
PHOENIX, AZ 85037-5944
Phone number: 928-232-0764
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