Organization
NO NIT NOGGINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CECELIA PICKENS (OWNER)
(602) 441-0231
Entity
Organization
Contact information
Practice address
8060 E GELDING DR, SUITE 102, SCOTTSDALE, AZ 85260-6960
(602) 441-0231
Mailing address
8060 E GELDING DR, SUITE 102, SCOTTSDALE, AZ 85260-6960
(602) 441-0231
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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