Organization
COKO LLC
Active
Other names
Studio 48 Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ANDRES (LEAD BILLER)
(480) 500-1248
Entity
Organization
Contact information
Practice address
15215 S. 48TH ST. SUITE 156, PHOENIX, AZ 85044
(480) 420-8306
(833) 881-9193
Mailing address
15215 S. 48TH ST. SUITE 156, PHOENIX, AZ 85044
(480) 704-8818
(833) 881-9193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
01/28/2022
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