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Individual

TRICIA RICKETTSFACEY

Active
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Individual

TRICIA RICKETTSFACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1118
CT
363LF0000X
Family Nurse Practitioner
Primary
11183
CT

Other

Enumeration date
12/04/2013
Last updated
11/30/2023
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