Organization
DINE' TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERDELL MYCHAL DAWES (OWNER)
(928) 729-2130
Entity
Organization
Contact information
Practice address
PIGEON SPRINGS NHA HOUSING HOUSE 062, FORT DEFIANCE, AZ 86504
(928) 729-2130
(928) 729-5475
Mailing address
PO BOX 74, SAINT MICHAELS, AZ 86511-0074
(928) 729-2130
(928) 729-5475
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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