MATTHEW LEE PENSE

ALBANY, GA
NPI1144490202
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
Mr. MATTHEW LEE PENSE Idependent Duty Corp
814 RADFORD BLVD
ALBANY, GA 31704-9998
Phone number: 229-639-7886
Mailing Address
Mr. MATTHEW LEE PENSE Idependent Duty Corp
814 RADFORD BLVD
ALBANY, GA 31704-1130
Phone number: 229-639-7886