Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LICA SERT
ActiveLICA SERT is a Electronic Diagnostic Technologist healthcare provider located in PHOENIX, Arizona. NPI 1669920849 is currently active in the NPPES registry. Verify at CMS.
Electronic Diagnostic Technologist · PHOENIX, AZ
Registration Details
- NPI Number
- 1669920849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2016 (9.9290509622396 yrs)
- Last Updated
- Jun 7, 2022
Practice Information
- Address
-
806 S 56TH AVE STE 1BPHOENIX, AZ, 850434630Browse AZ providers · Browse ZIP 85043
- Phone
- 6024290447
- Primary Specialty
-
Electronic Diagnostic Technologist
246ZE0500X
- Additional Specialty
- Health & Wellness Coach
- Additional Specialty
- Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.