Individual
MRS. MARILYN RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-7430
(209) 525-5319
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-7430
(209) 525-5319
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
05/22/2025
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