KENNETH HORTMAN

ROBERTA, GA
NPI1619329307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- KENNETH HORTMAN
143 E CRUSSELLE ST
ROBERTA, GA 31078-4866
Phone number: 478-836-2994
Mailing Address
-- KENNETH HORTMAN
PO BOX 900
ROBERTA, GA 31078-0900
Phone number: 478-836-2994