THEODORE ANDERSON

GLENDALE, AZ
NPI1740660034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2015-06-02
Last Update Date2015-06-02
Business Address
-- THEODORE ANDERSON
5153 W THUNDERBIRD RD
GLENDALE, AZ 85306-4836
Phone number: 360-265-2223
Mailing Address
-- THEODORE ANDERSON
5153 W THUNDERBIRD RD
GLENDALE, AZ 85306-4836
Phone number: