KUOC MATHIANG

PHOENIX, AZ
NPI1679294037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AZ  218491)
Enumeration Date2022-09-06
Last Update Date2024-12-29
Business Address
KUOC MATHIANG
20425 N 7TH ST APT 3072
PHOENIX, AZ 85024-6019
Phone number: 480-612-7532
Mailing Address
KUOC MATHIANG
20425 N 7TH ST APT 3072
PHOENIX, AZ 85024-6019
Phone number: 480-612-7532