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Individual

MRS. ANGELA M RICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4105 HOLIDAY ST NW, NEUROCARE CENTER, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Mailing address
4105 HOLIDAY ST NW, NEUROCARE CENTER, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002995
OH
363A00000X
Physician Assistant
MA054059
PA
363A00000X
Physician Assistant
OA002403
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00818083
RAILROAD MEDICARE
OH
Enumeration date
11/23/2009
Last updated
03/17/2014
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