JERRY LEE LLOYD

PHOENIX, AZ
NPI1104103829
Other NameSAM LLOYD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0210)
Enumeration Date2011-11-09
Last Update Date2011-11-09
Business Address
Mr. JERRY LEE LLOYD AT
444 W OSBORN RD SUITE 303
PHOENIX, AZ 85013-3814
Phone number: 602-279-8022
Mailing Address
Mr. JERRY LEE LLOYD AT
4138 N 47TH ST
PHOENIX, AZ 85018-4313
Phone number: 602-952-1508