Individual
RICKEY M GRIFFIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(708) 737-6846
Mailing address
10626 RIDGELAND AVE APT 3B, CHICAGO RIDGE, IL 60415-1895
(708) 737-6846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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