BRANDEN WAYNE RAIDER

LOUISVILLE, KY
NPI1326809104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: KY  1159821)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
BRANDEN WAYNE RAIDER RN
5913 ELDORADO AVE
LOUISVILLE, KY 40291-1350
Phone number: 859-559-5194
Mailing Address
BRANDEN WAYNE RAIDER RN
5913 ELDORADO AVE
LOUISVILLE, KY 40291-1350
Phone number: 859-559-5194