Individual
QUINTIN RYAN YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4914 E CORONADO RD, PHOENIX, AZ 85008-4218
(928) 637-3464
Mailing address
4914 E CORONADO RD, PHOENIX, AZ 85008-4218
(928) 637-3464
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
03/26/2019
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