BRANDON MARSHALL WADDLE

SANFORD, FL
NPI1548541113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  PTA22680)
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
-- BRANDON MARSHALL WADDLE PTA
5433 STATE ROAD 46
SANFORD, FL 32771
Phone number: 877-322-5441
Mailing Address
-- BRANDON MARSHALL WADDLE PTA
5433 STATE ROAD 46
SANFORD, FL 32771
Phone number: 877-322-5441