GERARDO GRIJALVA

DOUGLAS, AZ
NPI1851700488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: AZ  D00985585)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
-- GERARDO GRIJALVA
2714 E 6TH ST
DOUGLAS, AZ 85607
Phone number: 520-368-6937
Mailing Address
-- GERARDO GRIJALVA
2714 E 6TH ST
DOUGLAS, AZ 85607-3526
Phone number: 520-368-6937
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