Individual
KATHLEEN BEA RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 COUNTY ROAD 46650, BLOSSOM, TX 75416-3122
(903) 249-6148
Mailing address
80 COUNTY ROAD 46650, BLOSSOM, TX 75416-3122
(903) 249-6148
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
172681
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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