Individual
SONIA RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3373 LIBERTY BLVD, APT # C, SOUTH GATE, CA 90280-2368
(323) 712-1615
Mailing address
3373 LIBERTY BLVD, APT # C, SOUTH GATE, CA 90280-2368
(323) 712-1615
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
64530
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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