BRANDON SOULE'

LA PLATA, MD
NPI1689962581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C004461)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CT  6134)
363AM0700X Physician Assistant, Medical
(Licence: VA  0110003650)
363AM0700X Physician Assistant, Medical
(Licence: FL  PA9117365)
Enumeration Date2011-07-13
Last Update Date2024-10-17
Business Address
Mr. BRANDON SOULE' PA-C
PO BOX 51
LA PLATA, MD 20646-0051
Phone number: 410-209-4428
Mailing Address
Mr. BRANDON SOULE' PA-C
PO BOX 51
LA PLATA, MD 20646-0051
Phone number: