ALBERT ANTHONY URQUIDEZ

GLENDALE, AZ
NPI1083149579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-04-22
Last Update Date2017-04-22
Business Address
-- ALBERT ANTHONY URQUIDEZ SFIDC
6769 W LOUISE DR
GLENDALE, AZ 85310-5209
Phone number: 623-302-0507
Mailing Address
-- ALBERT ANTHONY URQUIDEZ SFIDC
6769 W LOUISE DR
GLENDALE, AZ 85310-5209
Phone number: 623-302-0507