Individual
MRS. JENNIFER LYNN RICCARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 W OLIVE ST, SCRANTON, PA 18508-2572
(570) 961-3823
(570) 207-5988
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
06/18/2010
Last updated
12/21/2020
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