Individual
LOREN DARRESS VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
RT. 6 MP 1.8, SAN CARLOS, AZ 85550-1352
(480) 338-1419
Mailing address
PO BOX 1352, INDIAN ROUTE 6 MP 1.8, SAN CARLOS, AZ 85550-1352
(480) 338-1419
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
8173
AZ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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