Individual
MS. CORINNE ANN RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2200 BERGQUIST DR, STE. #1, LACKLAND A F B, TX 78236-9907
(210) 292-0340
(210) 292-6158
Mailing address
3614 TEA ROSE GLN, SAN ANTONIO, TX 78259-2386
(210) 495-2088
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
635528
TX
Other
Enumeration date
03/05/2007
Last updated
12/28/2012
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