Camita Ricks

NPI #1073137329 in Gonzales, Louisiana

Provider Information

NPI Number: 1073137329
Entity Type: Individual
Name: Camita Ricks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 2, 2020
Last Updated: Jun 2, 2020

Practice Location

Address: 8544 S SAINT LANDRY AVE LOT 60
City: Gonzales
State: Louisiana
ZIP Code: 70737-8053
Phone: (225) 936-5677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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