RITHIRAT JOHN MCCOLLUM

MESA, AZ
NPI1316296122
Professional NameRITHIRAT JOHN MCCOLLUM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: AZ  3539)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
Mr. RITHIRAT JOHN MCCOLLUM COTA
255 WEST BROWN RD.
MESA, AZ 85201
Phone number: 480-833-3988
Mailing Address
Mr. RITHIRAT JOHN MCCOLLUM COTA
16236 W. TONTO ST.
GOODYEAR, AZ 85338
Phone number: 602-829-7118
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