Individual
MARK RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17593 W POLARIS DR, GOODYEAR, AZ 85338-5473
(602) 686-3990
Mailing address
17593 W POLARIS DR, GOODYEAR, AZ 85338-5473
(602) 686-3990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
762067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
CALIFORNIA BOARD OF REGISTERED NURSES
CA
Enumeration date
12/09/2014
Last updated
12/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us