Organization
G2RESOURCESOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN G PICKETT DSCM (TECHNICAL/SCIENTIFIC DIRECTOR)
(817) 832-6303
Entity
Organization
Contact information
Practice address
9601 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1603
(817) 832-6303
Mailing address
9601 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1603
(817) 832-6303
Taxonomy
Speciality
Code
Description
License number
State
246ZG1000X
Medical Geneticist (PhD) Specialist/Technologist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100780032
NM CRS
NM
Enumeration date
05/06/2011
Last updated
05/06/2011
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