Individual
MS. JACQUELINE RENEE RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNA/CNA
Contact information
Practice address
5900 CLEARBROOK CT APT 102, FREDERICK, MD 21703-7592
(202) 270-9415
Mailing address
5900 CLEARBROOK CT APT 102, FREDERICK, MD 21703-7592
(202) 270-9415
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00143915
MD
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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