Individual
RICKEY JASPER II II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NASM, CPT
Contact information
Practice address
2979 ESCALA CIR, SAN DIEGO, CA 92108-6723
(703) 967-2186
Mailing address
20707 MANDALAY CT, ASHBURN, VA 20147-2836
(703) 967-2186
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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