Individual
RIKKI KUKKAMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2296
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2296
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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