JACOB BRANDON

SAN ANGELO, TX
NPI1588109110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4889)
Enumeration Date2017-01-06
Last Update Date2021-01-22
Business Address
JACOB BRANDON L.A.T.
2237 S JACKSON ST
SAN ANGELO, TX 76904-5131
Phone number: 325-481-2257
Mailing Address
JACOB BRANDON L.A.T.
4450 SUNSET DR
SAN ANGELO, TX 76901-5611
Phone number: