Organization
RANSTOM CREATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKESTEVE BIKO ONDIEKI MD (OPERATIONS DIRECTOR)
(480) 465-2516
Entity
Organization
Contact information
Practice address
1050 W 8TH AVE APT 205, MESA, AZ 85210-3475
(480) 465-2516
Mailing address
1050 W 8TH AVE APT 205, MESA, AZ 85210-3475
(480) 465-2516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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