Individual
KRISTINA RICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 N FRENCH RD, APPLETON, WI 54913-8363
(920) 422-1245
Mailing address
4500 N FRENCH RD, APPLETON, WI 54913
(920) 422-1245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319445-31
WI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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