Individual
DAVID ELIAS RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 S QUINTANA DR, ANAHEIM, CA 92807-4029
(714) 988-9822
Mailing address
233 S QUINTANA DR, ANAHEIM, CA 92807-4029
(714) 988-9822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/07/2016
Last updated
06/05/2019
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