NATHAN JON STACKHOUSE

BULLHEAD CITY, AZ
NPI1942497656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YS0200X Counselor, School
(Licence: AZ  3941434)
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
Mr. NATHAN JON STACKHOUSE
2380 3RD ST
BULLHEAD CITY, AZ 86429-5502
Phone number: 567-224-8821
Mailing Address
Mr. NATHAN JON STACKHOUSE
1004 HANCOCK RD
BULLHEAD CITY, AZ 86442-5946
Phone number: 567-224-8821