Individual
RICKY IVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25560 BUSINESS PARK, UNIT 2A, SEAFORD, DE 19973-4292
(302) 841-9515
Mailing address
25560 BUSINESS PARK, UNIT 2A, SEAFORD, DE 19973-4292
(302) 841-9515
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002118
VA
Other
Enumeration date
08/26/2014
Last updated
05/13/2016
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