JONATHAN DIZON

PHOENIX, AZ
NPI1821551755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-08
Last Update Date2019-04-08
Business Address
JONATHAN DIZON
420 W WATKINS RD
PHOENIX, AZ 85003-2830
Phone number: 602-261-6842
Mailing Address
JONATHAN DIZON
15208 HAYFORD ST
LA MIRADA, CA 90638-5303
Phone number: 714-726-3742