Aliza Sara Ricklis, MS

NPI #1568542793 in Hackensack, New Jersey

Provider Information

NPI Number: 1568542793
Entity Type: Individual
Name: Aliza Sara Ricklis, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Genetic Counselor, MS
Credential: MS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 30 PROSPECT AVE
City: Hackensack
State: New Jersey
ZIP Code: 07601-1914
Phone: (201) 996-5742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Genetic Counselor, MS	170300000X	Primary

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