EDWARD GRIJALVA

TUCSON, AZ
NPI1679932867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  11811)
Enumeration Date2016-02-16
Last Update Date2016-02-16
Business Address
-- EDWARD GRIJALVA
2601 N CAMPBELL AVE STE 108
TUCSON, AZ 85719-3164
Phone number: 520-623-6015
Mailing Address
-- EDWARD GRIJALVA
2601 N CAMPBELL AVE STE 108
TUCSON, AZ 85719-3164
Phone number: 520-623-6015