Individual
MRS. RILEY NICOLE HERMAN RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36457 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7342
(480) 214-9000
Mailing address
36457 N GANTZEL RD # M, SAN TAN VALLEY, AZ 85140-7342
(480) 214-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
06/03/2024
Last updated
12/13/2025
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