Individual
BIANCA RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45111 FERN AVE, LANCASTER, CA 93534-2301
(661) 949-1206
Mailing address
45111 FERN AVE, LANCASTER, CA 93534-2301
(661) 949-1206
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-888
INNOVATIONS 2
—
Enumeration date
03/03/2020
Last updated
03/03/2020
About Stedi
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