BEHAYLU T NEMOMSA

TOLLESON, AZ
NPI1811686330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ  D09521035)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
BEHAYLU T NEMOMSA
10022 W HESS ST
TOLLESON, AZ 85353-1235
Phone number: 480-685-6100
Mailing Address
BEHAYLU T NEMOMSA
10022 W HESS ST
TOLLESON, AZ 85353-1235
Phone number: 480-685-6100