Individual
AUDU THOMAS SERIKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2539 W SPENCER RUN, PHOENIX, AZ 85041-2927
(602) 975-6765
Mailing address
3554 W HIDDEN MOUNTAIN LN, PHOENIX, AZ 85086-2783
(602) 386-9196
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN152606
AZ
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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