Individual
ENRIQUE PRIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11433 W PHILLIP JACOB DR, SURPRISE, AZ 85378-6977
(360) 204-8073
Mailing address
11433 W PHILLIP JACOB DR, SURPRISE, AZ 85378-6977
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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