| Ranstom Creation Llc | |
|
1050 W 8th Ave Apt 205 Mesa AZ 85210-3475 | |
| (480) 465-2516 | |
| Not Available |
| Full Name | Ranstom Creation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1050 W 8th Ave Apt 205, Mesa, Arizona |
| Authorized Official Name and Position | Jakesteve Biko Ondieki (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 4804652516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranstom Creation Llc 1050 W 8th Ave Apt 205 Mesa AZ 85210-3475 Ph: (480) 465-2516 | Ranstom Creation Llc 1050 W 8th Ave Apt 205 Mesa AZ 85210-3475 Ph: (480) 465-2516 |
| NPI Number | 1730767856 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730767856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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