ANDREW ZAVALA

SCOTT AFB, IL
NPI1164656088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2009-05-06
Last Update Date2009-05-06
Business Address
ANDREW ZAVALA IDMT
310 W LOSEY ST 375TH MDG/SGOPG
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7129
Mailing Address
ANDREW ZAVALA IDMT
4883 LIVELY CT UNIT A
SCOTT AFB, IL 62225-6782
Phone number: 773-230-6689
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