Individual
JOCELYN C RICASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
828 HEALTHY WAY STE 220-B, VIRGINIA BEACH, VA 23462-7958
(757) 673-5860
(757) 673-5682
Mailing address
828 HEALTHY WAY, SUITE 220, VIRGINIA BEACH, VA 23462-7958
(757) 305-1797
(757) 309-4715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101252198
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101252198
VA
207R00000X
Internal Medicine Physician
0101252198
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019374
VA
390200000X
Student in an Organized Health Care Education/Training Program
MT196434
PA
Other
Enumeration date
06/15/2008
Last updated
09/02/2021
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