Provider First Line Business Practice Location Address:
NORTH HIGHWAY 163
Provider Second Line Business Practice Location Address:
KAYENTA UNIFIED SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
KAYENTA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86033-0337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-697-2054
Provider Business Practice Location Address Fax Number:
928-697-2095
Provider Enumeration Date:
08/09/2007