Individual
MISS JAMIE RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 KINGS HWY E, ATTN: ATHLETIC TRAINER, HADDONFIELD, NJ 08033-1206
(856) 429-3960
Mailing address
2 HAWTHORNE WOODS APT C, DEPTFORD, NJ 08096-2962
(856) 562-1180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00201100
NJ
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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