Joshua Locke Azevedo L.I.S.A.C.

NPI 1356517676 - Counselor - 101YA0400X

NPI Details
NPI 1356517676
Gender Male
Enumeration Date 05/06/2008
Last Updated 05/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
648 S RIVER DR
TEMPE AZ, 85281-3012, US
Phone (480) 921-4050
Fax (480) 921-2673
Business Location
1753 E BROADWAY RD
101-280
TEMPE AZ, 85282-2081, US
Phone (480) 921-4050
Fax (480) 921-2673
Toxanomy
Taxonomy Code 101YA0400X
License State Arizona
License Number 1644
Remove 1356517676 NPI Number
 

According to our database, Mr. Joshua Locke Azevedo L.I.S.A.C. NPI is 1356517676, taxonomy code is 101YA0400X and license number is 1644, license state is located at Arizona. Joshua Locke Azevedo L.I.S.A.C. physically located at 648 S River Dr, Tempe AZ, 85281-3012. NPI Number Joshua Locke Azevedo L.I.S.A.C. has the Individual type.

Sponsored links

1356517676 NPI number is provided on an as is basis without warranty of any kind. 1356517676 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Locke Azevedo L.I.S.A.C. are for informational purposes only.