Individual
MARIE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
(602) 304-3132
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN169885
AZ
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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