Individual
DR. SHAWN RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 GREENE ST, CUMBERLAND, MD 21502-2933
(301) 722-4757
Mailing address
50 GREENE ST, CUMBERLAND, MD 21502-2933
(301) 722-4757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1478
MD
Other
Enumeration date
05/18/2006
Last updated
12/11/2008
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