BRANDON JOHNSON

NEWARK, DE
NPI1518392364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE  J3-0000474)
Enumeration Date2013-09-12
Last Update Date2013-09-12
Business Address
-- BRANDON JOHNSON
56 THOMPSON CIR
NEWARK, DE 19711-7129
Phone number: 281-468-6202
Mailing Address
-- BRANDON JOHNSON
56 THOMPSON CIR
NEWARK, DE 19711-7129
Phone number: 281-468-6202