Individual
JARRED RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
Mailing address
14119 BUCHER AVE, SYLMAR, CA 91342-1442
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/13/2024
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