Individual
COREY RICCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., IBCLC
Contact information
Practice address
203 LIVE OAK LN, LARGO, FL 33770-4074
(727) 515-5417
Mailing address
203 LIVE OAK LN, LARGO, FL 33770-4074
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2667692
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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