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Organization

PICKY GIRL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HEMANTA ROY (CEO)
(408) 748-4101
Entity
Organization

Contact information

Practice address
919 SHERWOOD DR, WARRENTON, MO 63383-2241
(408) 748-4101
(833) 491-1161
Mailing address
919 SHERWOOD DR, WARRENTON, MO 63383-2241
(408) 748-4101
(833) 491-1161

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
1835P1400X
Pain Management Pharmacist
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
01/22/2026
Last updated
01/22/2026
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