BRENDAN WADLOW

LUKE AFB, AZ
NPI1063106821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
Enumeration Date2023-06-05
Last Update Date2026-06-26
Business Address
BRENDAN WADLOW
14185 W FALCON ST
LUKE AFB, AZ 85309-1601
Phone number: 928-232-0764
Mailing Address
BRENDAN WADLOW
14185 W FALCON ST
LUKE AFB, AZ 85309-1601
Phone number: 928-232-0764
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