Individual
MR. V AYZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N. US191, CHINLE, AZ 86503-1301
(928) 000-1111
Mailing address
PO BOX 1301, CHINLE, AZ 86503-1301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
07/10/2010
Last updated
10/07/2011
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