Individual
MR. WADNEL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1206 S M ST, LAKE WORTH, FL 33460-5672
(561) 420-1439
Mailing address
1206 S M ST, LAKE WORTH, FL 33460-5672
(561) 420-1439
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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