RAFAEL WILSON

SIERRA VISTA, AZ
NPI1740848605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ  CGL5363)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
RAFAEL WILSON
1447 CALLE CIBOLA
SIERRA VISTA, AZ 85635-9301
Phone number: 702-296-5724
Mailing Address
RAFAEL WILSON
1447 CALLE CIBOLA
SIERRA VISTA, AZ 85635-9301
Phone number: 702-296-5724
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