Individual
MR. SELMMAN RICARDO PADRIDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 E 9TH ST, BOX #12, FORT STEWART, GA 31314-5036
(912) 435-6081
Mailing address
1283 SE 7TH CT, DEERFIELD BEACH, FL 33441-5868
(754) 214-9122
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
25468079
TX
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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