MATTHEW ODISHOO

AVONDALE, AZ
NPI1679069025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
(Licence: AZ  AL10626H)
Enumeration Date2018-07-09
Last Update Date2018-07-09
Business Address
MATTHEW ODISHOO
2114 S 118TH AVE
AVONDALE, AZ 85323-7643
Phone number: 623-792-7930
Mailing Address
MATTHEW ODISHOO
2114 S 118TH AVE
AVONDALE, AZ 85323-7643
Phone number: 623-792-7930