Destiny Ricker

NPI #1093382541 in Bryan, Ohio

Provider Information

NPI Number: 1093382541
Entity Type: Individual
Name: Destiny Ricker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: 127 BLAKESLEE AVE
City: Bryan
State: Ohio
ZIP Code: 43506-1692
Phone: (567) 239-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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