TIMOTHY GLENN EIKOM

PRESCOTT, AZ
NPI1740678887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246RM2200X Technician, Pathology, Medical Laboratory
Enumeration Date2014-12-23
Last Update Date2014-12-23
Business Address
-- TIMOTHY GLENN EIKOM
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
Mailing Address
-- TIMOTHY GLENN EIKOM
5448 MIDWINTER MIST ST
NORTH LAS VEGAS, NV 89031-7937
Phone number: 760-953-0739