Individual
KIM M PICKETT-HELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 WOODBINE AVE APT 50, SACRAMENTO, CA 95822-4047
(916) 271-9705
Mailing address
6800 WOODBINE AVE APT 50, SACRAMENTO, CA 95822-4047
(916) 271-9705
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258251734
—
CA
Enumeration date
09/23/2019
Last updated
09/23/2019
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