CHARLES DELVON PICKETT

LUKE AFB, AZ
NPI1043516610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2011-01-31
Last Update Date2011-08-30
Business Address
-- CHARLES DELVON PICKETT IDMT
7019 N LITCHFIELD AVE LUKE AFB, 56/AMDS
LUKE AFB, AZ 85309
Phone number: 623-856-7527
Mailing Address
-- CHARLES DELVON PICKETT IDMT
16240 W PIMA ST
GOODYEAR, AZ 85338-7927
Phone number: 480-233-5021