Individual
DAMASO ENRIQUE MONTES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8916 W PAYSON RD, TOLLESON, AZ 85353-5906
(602) 363-9228
Mailing address
8916 W PAYSON RD, TOLLESON, AZ 85353-5906
(602) 363-9228
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
630107010414296
AZ
247200000X
Other Technician
T033994
AZ
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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