Individual
LESLIE RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 LIONEL ST, GOLDSBORO, NC 27530-2931
(919) 739-6048
Mailing address
801 LIONEL ST, GOLDSBORO, NC 27530-2931
(919) 739-6048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004917
NC
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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