Individual
MARIA RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5821 W CENTRAL AVE, TOLEDO, OH 43615-1403
(419) 536-9294
(419) 536-9340
Mailing address
112 BROMWICH LN, TOLEDO, OH 43615-5508
(419) 267-2462
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5455
OH
156FX1800X
Optician
5455S
OH
156FX1800X
Optician
S5455
OH
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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