Individual
RICKY S CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
(510) 548-7270
Mailing address
2323 HEARST AVE, BERKELEY, CA 94709-1319
(510) 526-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95111202
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95111202
CA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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