ALFREDO AYO BANTUG

FORT DEFIANCE, AZ
NPI1477176931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: TX  15897)
Enumeration Date2020-05-19
Last Update Date2022-07-21
Business Address
ALFREDO AYO BANTUG RRT
FORT DEFIANCE HOSPITAL FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ 86504-3166
Phone number: 209-665-5890
Mailing Address
ALFREDO AYO BANTUG RRT
3802 SHADY VILLAGE LN
SHAFTER, CA 93263-3166
Phone number: 209-665-5890
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