Individual
EBONY RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 N BROAD ST, PHILADELPHIA, PA 19132-2721
(267) 402-7995
Mailing address
3901 RICHMOND ST, PHILADELPHIA, PA 19137-1417
(215) 909-1055
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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