Individual
DANIELLE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1039 LENORE AVE, COLUMBUS, OH 43224-3352
(614) 957-6633
Mailing address
1039 LENORE AVE, COLUMBUS, OH 43224-3352
(614) 957-6633
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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