Individual
IEESHA BOYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23612 W PECAN RD, BUCKEYE, AZ 85326-7234
(916) 668-0563
Mailing address
4706 N 124TH AVE, AVONDALE, AZ 85392-4265
(602) 577-9122
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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