Selophia Ricketts
NPI #1225686181 in Far Rockaway, New York
Provider Information
- NPI Number
- 1225686181
- Entity Type
- Individual
- Name
- Selophia Ricketts
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 720 BEACH 20TH ST
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-3502
- Phone
- (718) 327-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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