TIDRE LAURENT

GLENDALE, AZ
NPI1053008359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2023-04-18
Last Update Date2023-04-18
Business Address
TIDRE LAURENT
4480 W PEORIA AVE STE 108
GLENDALE, AZ 85302-2022
Phone number: 602-922-0662
Mailing Address
TIDRE LAURENT
4480 W PEORIA AVE STE 108
GLENDALE, AZ 85302-2022
Phone number: 602-922-0662
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