NPI 1457365520
Mary G Ricketts
Practice location
- Address
- 2215 E 52nd St STE 2, Davenport, IA 52807-2786
- Phone
- (563) 355-7712
- Fax
- (563) 359-1325
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1457365520
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jul 2006
- Record last updated
- 8 Jul 2007
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.