Individual
MRS. CYNTHIA L RICKETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4258 OXFORD MIDDLETOWN RD, TRENTON, OH 45067-9694
(937) 657-1227
Mailing address
4258 OXFORD MIDDLETOWN RD, TRENTON, OH 45067-9694
(937) 657-1227
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 130603
OH
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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