Provider First Line Business Practice Location Address:
JCT U.S. HWY 150 & NAVAJO ROUTE 35 - RED MESA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEEC NOS POS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-656-5165
Provider Business Practice Location Address Fax Number:
928-656-5164
Provider Enumeration Date:
08/27/2014