Individual
JESSIKA DAWN RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
2819 W MARCH LN STE B6, STOCKTON, CA 95219-8211
(209) 351-6706
Mailing address
2819 W MARCH LN STE B6, STOCKTON, CA 95219-8211
(209) 351-6706
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
1216
CA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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