Individual
LASHAWNA ANN RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 BEACH 36TH ST, FAR ROCKAWAY, NY 11691-1506
(929) 433-9421
Mailing address
433 BEACH 36TH ST, FAR ROCKAWAY, NY 11691-1506
(929) 433-9421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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