Individual
SAMANTHA JEANNE RICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
319 W HASTINGS RD, SPOKANE, WA 99218-2814
(509) 570-8515
Mailing address
PO BOX 282, CHATTAROY, WA 99003-0282
(509) 570-8515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602492109
WA
Other
Enumeration date
03/22/2007
Last updated
11/09/2011
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