MIKE SHANTIAI

YUMA, AZ
NPI1659852382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S023448)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
MIKE SHANTIAI
1555 S AVENUE B
YUMA, AZ 85364-4324
Phone number: 928-819-0208
Mailing Address
MIKE SHANTIAI
1555 S AVENUE B
YUMA, AZ 85364-4324
Phone number:
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