ANDERS K WAALEN

PORT JEFFERSON, NY
NPI1336776806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-25
Last Update Date2024-10-25
Business Address
ANDERS K WAALEN
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2518
Mailing Address
ANDERS K WAALEN
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number:
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