Provider Information for 1265052526
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JUDY RICCI Phd
Sex: Female
NPI: 1265052526
Last Updated: 2020-04-16
Certification Date: 2020-04-16
Certification Date: 2020-04-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265052526 | ||||||||
| Enumeration Date | 2020-04-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 610 PROFESSIONAL DR STE 255 GAITHERSBURG, MD 20879-3463 United States Phone: 240-683-6202 | Fax: | ||||||||
| Primary Practice Address | 610 PROFESSIONAL DR STE 255 GAITHERSBURG, MD 20879-3463 United States Phone: 240-683-6202 | Fax: | ||||||||
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