Individual
MR. RICO BOBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 NEW FORT BROWDER RD, EUFAULA, AL 36027-1027
(334) 695-9799
Mailing address
109 NEW FORT BROWDER RD, EUFAULA, AL 36027-1027
(334) 695-9799
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9091
VETERAN AFFAIRS
—
Enumeration date
10/03/2019
Last updated
10/03/2019
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