Provider First Line Business Practice Location Address:
NAVAJO ROUTE 64 AND 12
Provider Second Line Business Practice Location Address:
TSAILE HEALTH CENTER
Provider Business Practice Location Address City Name:
TSAILE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86556-0467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-724-3644
Provider Business Practice Location Address Fax Number:
928-724-3605
Provider Enumeration Date:
03/07/2008