Individual
ANNETTE RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 N ESCONDIDO BLVD, ESCONDIDO, CA 92026-2507
(760) 317-9121
Mailing address
1341 N ESCONDIDO BLVD, ESCONDIDO, CA 92026-2507
(760) 317-9121
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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