Individual
CONSTANZA RICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4814 101ST ST SW, LAKEWOOD, WA 98499-3823
(206) 981-0466
Mailing address
4814 101ST ST SW, LAKEWOOD, WA 98499-3823
(206) 981-0466
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0337122
L&I
WA
Enumeration date
08/26/2020
Last updated
08/26/2020
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