Individual
RICCI ST. JULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., D.O
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5813
Mailing address
182 WELLINGTON RD, ELMONT, NY 11003-2010
(516) 754-6547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13320
WI
207R00000X
Internal Medicine Physician
Primary
2019-01976
NC
207R00000X
Internal Medicine Physician
OS21275
FL
208M00000X
Hospitalist Physician
13320
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
04/01/2025
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