NPI 1073137329

Camita Ricks

Practitioner Driver Gonzales, LA

Practice location

Address: 8544 S Saint Landry Ave Lot 60, Gonzales, LA 70737-8053
Phone: (225) 936-5677

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 7711873 (LA)

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Registry record

NPI: 1073137329
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2020
Record last updated: 2 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.