MR. Selmman Ricardo Padridin
NPI #1124420377 in Fort Stewart, Georgia
Provider Information
- NPI Number
- 1124420377
- Entity Type
- Individual
- Name
- MR. Selmman Ricardo Padridin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Pathology - Medical Laboratory
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 411 E 9TH ST
- Address 2
- BOX #12
- City
- Fort Stewart
- State
- Georgia
- ZIP Code
- 31314-5036
- Phone
- (912) 435-6081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Medical Laboratory — Medical Laboratory |
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