Individual
MR. HECTOR ALBERTO JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
12680 E RED IRON TRL, VAIL, AZ 85641-6640
(520) 249-7166
Mailing address
12680 E RED IRON TRL, VAIL, AZ 85641-6640
(520) 249-7166
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4772540
AZ
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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