ENSAR AVDIC

LOUISVILLE, KY
NPI1720839186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
ENSAR AVDIC
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-762-3749
Mailing Address
ENSAR AVDIC
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: