ELLIOTT REED ROMAN

LOUISVILLE, KY
NPI1811748718
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
ELLIOTT REED ROMAN
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-489-1621
Mailing Address
ELLIOTT REED ROMAN
1629 S 3RD ST APT 202
LOUISVILLE, KY 40208-1940
Phone number: 502-489-1621