LISA TUNGOVIA

POLACCA, AZ
NPI1740647734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374700000X Technician
(Licence: AZ  899436)
Enumeration Date2016-01-21
Last Update Date2016-01-21
Business Address
-- LISA TUNGOVIA
HWY 264 MILE POST 388
POLACCA, AZ 86042
Phone number: 928-734-6000
Mailing Address
-- LISA TUNGOVIA
HWY 264 MILE POST 388
POLACCA, AZ 86042
Phone number: