Individual
MR. RICO J DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 MAPLE ST, B-3, HOMESTEAD, PA 15120-1800
(412) 461-1004
(412) 461-1325
Mailing address
1705 MAPLE AVE, B-3, HOMESTEAD, PA 15120
(412) 461-1004
(412) 461-1325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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