AUDREY GOLDTOOTH

PHOENIX, AZ
NPI1194105270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374700000X Technician
(Licence: AZ  157431)
Enumeration Date2015-06-04
Last Update Date2015-06-04
Business Address
MS. AUDREY GOLDTOOTH
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
MS. AUDREY GOLDTOOTH
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200