Individual
MS. KORTNEY ROSE RIBBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
3320 RENEE TER, SANBORN, NY 14132-9500
(623) 570-8792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1064978
CA
Other
Enumeration date
09/25/2006
Last updated
07/12/2007
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