Vena Ricketts M.D.

NPI 1083711956 - Emergency Medicine - 207P00000X

NPI Details
NPI 1083711956
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14445 OLIVE VIEW DR
SYLMAR CA, 91342-1437, US
Phone (818) 364-3107
Fax
Business Location
14445 OLIVE VIEW DR
SYLMAR CA, 91342-1437, US
Phone (818) 364-3107
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number G36468
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According to our database, Dr. Vena Ricketts M.D. NPI is 1083711956, taxonomy code is 207P00000X and license number is G36468, license state is located at California. Vena Ricketts M.D. physically located at 14445 Olive View Dr, Sylmar CA, 91342-1437. NPI Number Vena Ricketts M.D. has the Individual type.

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1083711956 NPI number is provided on an as is basis without warranty of any kind. 1083711956 is maintained by the National Plan & Provider Enumeration System. The contents of Vena Ricketts M.D. are for informational purposes only.