LUIS TELLO

TEMPE, AZ
NPI1528505062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy281P00000X Chronic Disease Hospital
(Licence: AZ  D04912906)
Enumeration Date2017-01-23
Last Update Date2017-01-23
Business Address
-- LUIS TELLO
4536 S FOREST AVE
TEMPE, AZ 85282-6707
Phone number: 480-208-2984
Mailing Address
-- LUIS TELLO
4536 S FOREST AVE
TEMPE, AZ 85282
Phone number: 480-208-2984