Individual
JAMIE RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 390-8060
Mailing address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 390-8060
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004001
OH
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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