UTIBE JOSHUA ETUDOR

PRESCOTT, AZ
NPI1538725916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ  234106)
Enumeration Date2019-05-11
Last Update Date2022-12-07
Business Address
UTIBE JOSHUA ETUDOR NP
810 AINSWORTH DR STE A
PRESCOTT, AZ 86301-1612
Phone number: 928-771-5548
Mailing Address
UTIBE JOSHUA ETUDOR NP
PO BOX 10880
PRESCOTT, AZ 86304-0880
Phone number: 928-759-5874