Individual
RICQUEA IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2320
Mailing address
400 HANNIGAN WAY, VALLEJO, CA 94589-1898
(707) 655-0094
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
128913
CA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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