JIMMY CREDO

TUBA CITY, AZ
NPI1982742813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist
(Licence: AZ  5409)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- JIMMY CREDO RRT-NPS, RPFT
167 N. MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2596
Mailing Address
-- JIMMY CREDO RRT-NPS, RPFT
3705 N STEVES BLVD
FLAGSTAFF, AZ 86004-6842
Phone number: 928-714-0746
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