BRANDON LEE GOODLY

LAKE CHARLES, LA
NPI1104448612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-05-07
Last Update Date2020-05-07
Business Address
BRANDON LEE GOODLY
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
Mailing Address
BRANDON LEE GOODLY
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: