RIAZ KIPROTICH

GLENDALE, AZ
NPI1174915813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-03-03
Last Update Date2015-03-03
Business Address
-- RIAZ KIPROTICH
5018 W CHRISTY DR
GLENDALE, AZ 85304-4324
Phone number: 623-242-7766
Mailing Address
-- RIAZ KIPROTICH
5018 W CHRISTY DR
GLENDALE, AZ 85304-4324
Phone number: 623-242-7766