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Individual

KELLY ELIZABETH RICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2502 N SPURGEON ST, SANTA ANA, CA 92706-1731
(714) 742-0365
Mailing address
2502 N SPURGEON ST, SANTA ANA, CA 92706-1731
(714) 742-0365

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
686341
CA

Other

Enumeration date
09/09/2014
Last updated
12/23/2021
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