SearchTexas235Z00000X

Marisa Rickerson

NPI 1902388242 · on the registry since 2018 · sole proprietor

Practice

Address
Spjst
1810 Old Granger Rd
Tayloe, TX 76574
Phone
(512) 352-6337

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-04

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 Texas