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Tanisha Ricketts
NPI 1891641858 · on the registry since 2026 · sole proprietor
Practice
- Address
- 721 N Lincoln Ave # A
Scranton, PA 18504 - Phone
- (984) 310-1642
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania