Alyssa Ricke

NPI #1962237834 in Prior Lake, Minnesota

Provider Information

NPI Number: 1962237834
Entity Type: Individual
Name: Alyssa Ricke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 3, 2024
Last Updated: Sep 3, 2024

Practice Location

Address: 16180 HASTINGS AVE SE STE 205
City: Prior Lake
State: Minnesota
ZIP Code: 55372-9228
Phone: (952) 443-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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