Walter Wayne Cannefax

NPI 1467844555 - Community Health Worker - 172V00000X

NPI Details
NPI 1467844555
Gender Male
Enumeration Date 02/26/2015
Last Updated 03/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1239 E MAIN ST
BARTOW FL, 33830-5058, US
Phone (863) 519-0575
Business Location
PO BOX 1559
BARTOW FL, 33831-1559, US
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Walter Wayne Cannefax NPI is 1467844555, taxonomy code is 172V00000X Walter Wayne Cannefax physically located at 1239 E Main St, Bartow FL, 33830-5058. NPI Number Walter Wayne Cannefax has the Individual type.

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1467844555 NPI number is provided on an as is basis without warranty of any kind. 1467844555 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Wayne Cannefax are for informational purposes only.