Provider First Line Business Practice Location Address:
8801 N 56TH ST
Provider Second Line Business Practice Location Address:
CHEROKEE ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
PARADISE VALLEY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85253-2246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-484-8700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007