KEANU BEN TOHANNIE

TUBA CITY, AZ
NPI1639544307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: TX  E8L6X2B3)
Enumeration Date2015-12-07
Last Update Date2016-01-05
Business Address
-- KEANU BEN TOHANNIE Certified Medical As
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
Mailing Address
-- KEANU BEN TOHANNIE Certified Medical As
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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