Individual
SURONDA RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CCE
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 362-6064
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 362-6064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138084
NC
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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