Individual
RICKETTA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13322 GLENDALE AVE, CLEVELAND, OH 44105-4659
(216) 219-1013
(216) 219-1013
Mailing address
13322 GLENDALE AVENUE, CLEVELAND, OH 44105
(216) 219-1013
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006384
OH
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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