Individual
GARRICK KENNETH HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 W BASELINE RD STE 138, MESA, AZ 85202-5821
(480) 662-1923
Mailing address
PO BOX 194, TONTO BASIN, AZ 85553-0194
(480) 662-1923
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
11/01/2023
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