RICO ANDREW SEGUN

PHOENIX, AZ
NPI1760055099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  235620)
Enumeration Date2021-07-23
Last Update Date2021-07-23
Business Address
RICO ANDREW SEGUN ACNP
6036 N 19TH AVE STE 506
PHOENIX, AZ 85015-2143
Phone number: 602-841-0741
Mailing Address
RICO ANDREW SEGUN ACNP
8005 W REDBIRD RD
PEORIA, AZ 85383-6264
Phone number: 602-716-1967