Individual
JACQUELINE E RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8206 MINEHEAD DR, SMYRNA, TN 37167-4487
(615) 762-5260
Mailing address
105 KINGSTON CT, MURFREESBORO, TN 37127-6927
(615) 762-5260
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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