THAD MALIK

PRESCOTT, AZ
NPI1982177689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
(Licence: AZ  9685638)
Enumeration Date2019-01-04
Last Update Date2019-01-04
Business Address
THAD MALIK
1708 SEQUOIA DR
PRESCOTT, AZ 86301-1243
Phone number: 248-825-5715
Mailing Address
THAD MALIK
1708 SEQUOIA DR
PRESCOTT, AZ 86301-1243
Phone number: 248-825-5715