Jacqueline Cora Ricklick, LPN | |
4609 Briggs Dr Se, Apt 304, Olympia, WA 98501-5515 | |
(360) 349-3344 | |
Not Available |
Full Name | Jacqueline Cora Ricklick |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 4609 Briggs Dr Se, Olympia, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548610512 | NPI | - | NPPES |
164W00000X | Other | WA | LPN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN.LP.00040788 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Cora Ricklick, LPN 4609 Briggs Dr Se, Apt 304, Olympia, WA 98501-5515 Ph: (360) 349-3344 | Jacqueline Cora Ricklick, LPN 4609 Briggs Dr Se, Apt 304, Olympia, WA 98501-5515 Ph: (360) 349-3344 |
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