Individual
CLARISSA JORDAN RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 369-4218
Mailing address
5597 OVERLAND DR, BILOXI, MS 39532-8560
(228) 369-4218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F01260370
MS
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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