Organization
GINA RICO PSYCHIATRIC NURSING SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA RICO PMHNP-BC (PRESIDENT)
(626) 261-3091
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 261-3091
Mailing address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 261-3091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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