MICHAEL EDWARD WHALEN

WINSLOW, AZ
NPI1275074106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-11
Last Update Date2017-03-11
Business Address
Mr. MICHAEL EDWARD WHALEN
500 INDIANA AVE
WINSLOW, AZ 86047-2169
Phone number: 928-289-6116
Mailing Address
Mr. MICHAEL EDWARD WHALEN
5601 CHALLISFORD LN
CHARLOTTE, NC 28226-2627
Phone number: 706-614-8689