DANIEL STANDRIDGE

PHOENIX, AZ
NPI1114318375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  TLP050697)
Enumeration Date2015-02-10
Last Update Date2015-02-10
Business Address
-- DANIEL STANDRIDGE
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- DANIEL STANDRIDGE
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200