STACY TALAHYTEWA

POLACCA, AZ
NPI1871818492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247100000X Radiologic Technologist
(Licence: AZ  CRT-10799)
Enumeration Date2010-04-07
Last Update Date2010-04-07
Business Address
Mr. STACY TALAHYTEWA RT(R)
HWY 264 MILE POST 388
POLACCA, AZ 86042
Phone number: 928-737-6210
Mailing Address
Mr. STACY TALAHYTEWA RT(R)
PO BOX 1019
POLACCA, AZ 86042-1019
Phone number: 928-734-9450
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