Individual
MS. KIMBERLY DAWN RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
116 BLUE SAGE LN, CIBOLO, TX 78108-4278
(210) 875-2798
Mailing address
116 BLUE SAGE LN, CIBOLO, TX 78108-4278
(210) 875-2798
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
306603
TX
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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