BRANDON POMAIKAI PENEBACKER

FORT BRAGG, NC
NPI1962754820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2012-10-02
Last Update Date2012-10-02
Business Address
Mr. BRANDON POMAIKAI PENEBACKER PA-C
TAGAYTA DR BLDG C-1722
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8282
Mailing Address
Mr. BRANDON POMAIKAI PENEBACKER PA-C
504 MURRAY FORK DR
FAYETTEVILLE, NC 28314-0958
Phone number: 910-973-2530