Individual
LAURA ELIZABETH RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10773 NW 11TH ST, PEMBROKE PINES, FL 33026-5926
(954) 809-8047
Mailing address
10773 NW 11TH ST, PEMBROKE PINES, FL 33026-5926
(954) 809-8047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9486371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7635276891
—
FL
Enumeration date
12/16/2020
Last updated
12/16/2020
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