Individual
MR. CORY WERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
NAVAJO ROUTE 12 MILE MARKER 34-3429, FORT DEFIANCE, AZ 86504-0885
(505) 419-4672
(382) 729-5338
Mailing address
PO BOX 885, FORT DEFIANCE, AZ 86504-0885
(505) 419-4672
(382) 729-5338
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
AZ
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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