PRIMITIVO ANICIETE YAMBAO

PHOENIX, AZ
NPI1700097656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  rn070473)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- PRIMITIVO ANICIETE YAMBAO rn
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- PRIMITIVO ANICIETE YAMBAO rn
P.O.BOX 31001-0698
PSASDENA,, CA 91110-0698
Phone number: 602-263-1511
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