GERERON JERALD DAW

KAYENTA, AZ
NPI1245746114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246QM0706X Spec/Tech, Pathology, Medical Technologist
(Licence:   213216)
Enumeration Date2017-12-14
Last Update Date2017-12-14
Business Address
GERERON JERALD DAW MT
394.3 HIGHWAY 160
KAYENTA, AZ 86033
Phone number: 928-697-4140
Mailing Address
GERERON JERALD DAW MT
PO BOX 368
KAYENTA, AZ 86033-0368
Phone number: 928-697-4140