Rickey Tackett JR.

NPI #1336717388 in Lodi, Ohio

Provider Information

NPI Number
1336717388
Entity Type
Individual
Name
Rickey Tackett JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health Aide
Enumeration Date
Jun 16, 2021
Last Updated
Jun 16, 2021

Practice Location

Address
130 RIVER ST
City
Lodi
State
Ohio
ZIP Code
44254-1045
Phone
(330) 441-0030

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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