Individual
TAMMY RICAFORTE EDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA (ASCP)
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2542
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2542
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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