Individual
MR. RONALD RAY HADDOCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8809 W CHRISTA WAY, TOLLESON, AZ 85353-1312
(623) 907-5499
Mailing address
8809 W CHRISTA WAY, TOLLESON, AZ 85353-1312
(623) 907-5499
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
9169
AZ
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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