Whalio Doctors

NPI 1366953952

Jillian L Ricard

Practitioner Home Modifications Contractor Port Saint Lucie, FL

Practice location

Address
926 SE Belfast Avenue, Port Saint Lucie, FL 34983-3498
Phone
(772) 924-5773
Fax
(772) 924-5773
Mailing address
926 SE Belfast Ave, Port Saint Lucie, FL 34983-3914

Registered specialties (2)

Home Modifications Contractor Primary
Other Service Providers Taxonomy 171WH0202X Licence CBC035798 (FL)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1366953952
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Oct 2017
Record last updated
30 Jun 2022

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.