BRANDON TAYLOR ELLISON

BIRMINGHAM, AL
NPI1841635703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S10961)
Enumeration Date2013-05-06
Last Update Date2013-05-06
Business Address
Mr. BRANDON TAYLOR ELLISON
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-4472
Mailing Address
Mr. BRANDON TAYLOR ELLISON
84 LEWIS RD
GADSDEN, AL 35904-9356
Phone number: