THAYLIA N/A QUANIMPTEWA

POLACCA, AZ
NPI1710615620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247000000X Technician, Health Information
(Licence: AZ  1125148)
Enumeration Date2022-08-09
Last Update Date2022-08-09
Business Address
THAYLIA N/A QUANIMPTEWA
HWY 264 MP388
POLACCA, AZ 86042
Phone number: 928-737-6000
Mailing Address
THAYLIA N/A QUANIMPTEWA
HWY 264 MP388
POLACCA, AZ 86042
Phone number: 928-737-6000