Organization
CHOLLA MIDDLE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIBETH BYKERK R.N. (SCHOOL NURSE)
(602) 896-5410
Entity
Organization
Contact information
Practice address
3120 W CHOLLA ST, PHOENIX, AZ 85029-4113
(602) 896-5410
(602) 896-5420
Mailing address
3120 W CHOLLA ST, PHOENIX, AZ 85029-4113
(602) 896-5410
(602) 896-5420
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1572605424
AZ
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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