Individual
FRIDAY SIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8251 E. KENYON DR., TUCSON, AZ 85710
(623) 251-8059
Mailing address
8251 E KENYON DR, TUCSON, AZ 85710-4273
(623) 251-8059
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5199
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/07/2017
Last updated
07/21/2022
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