Individual
KESHIA RICAMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
10561 JEFFREYS ST, STE 230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 990-5255
Mailing address
10561 JEFFREYS ST, STE 230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 990-5255
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
152172
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152172
NBSTSA
NV
Enumeration date
02/20/2015
Last updated
02/20/2015
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