Individual
GABRIELLE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 INDEPENDENCE AVE, KANSAS CITY, MO 64106-1453
(816) 654-7000
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94-10182
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
05/20/2020
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