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Organization
PICKY GIRL LLC
Active
Organization
PICKY GIRL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMANTA ROY (CEO)
(408) 748-4101
Entity
Organization
Contact information
Practice address
919 SHERWOOD DR, WARRENTON, MO 63383-2241
(408) 748-4101
(833) 491-1161
Mailing address
919 SHERWOOD DR, WARRENTON, MO 63383-2241
(408) 748-4101
(833) 491-1161
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
1835P1400X
Pain Management Pharmacist
—
NULL
1835P1400X
Pain Management Pharmacist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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