Individual
MARIO ALEXANDER RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7662
Mailing address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-181848
AL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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