NPI 1053008359
Tidre Laurent
Practice location
- Address
- 4480 W Peoria Ave STE 108, Glendale, AZ 85302-2022
- Phone
- (602) 922-0662
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1053008359
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Apr 2023
- Record last updated
- 18 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.