GLEN E WALDNER

MONTGOMERY, AL
NPI1235271016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  por151)
Additional Taxonomies174400000X Specialist
(Licence: AL  183)
Enumeration Date2007-02-12
Last Update Date2008-02-04
Business Address
-- GLEN E WALDNER CPO LPO
2865 ZELDA ROAD
MONTGOMERY, AL 36106
Phone number: 334-395-8118
Mailing Address
-- GLEN E WALDNER CPO LPO
126 SYCAMORE DRIVE
PRATTVILLE, AL 36066
Phone number: 334-730-4835