BRANDON CHAN

LAKELAND, FL
NPI1689397861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC6188)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-09-22
Last Update Date2022-10-27
Business Address
BRANDON CHAN
919 LAKELAND PARK DR
LAKELAND, FL 33809
Phone number: 863-859-6500
Mailing Address
BRANDON CHAN
550 LYNN ST
RIDGEWOOD, NJ 07450-1902
Phone number: