Provider First Line Business Practice Location Address:
960 RODEO WAY
Provider Second Line Business Practice Location Address:
HUALAPAI HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
PEACH SPRINGS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-769-2216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2009