Individual
BRANDON WADE SAKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14115 FRED AND AL KEY RD, KILN, MS 39556-8060
(228) 466-1035
Mailing address
14115 FRED AND AL KEY RD, KILN, MS 39556-8060
(228) 466-1035
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1978057
MS
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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