DEIDRA L RICKMAN-JOHNSON

CHARLESTON, WV
NPI1033144100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  29857)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
-- DEIDRA L RICKMAN-JOHNSON CRNA
4701 MACCORKLE AVE THE DAY SURGERY CENTER
CHARLESTON, WV 25304
Phone number: 304-925-9300
Mailing Address
-- DEIDRA L RICKMAN-JOHNSON CRNA
PO BOX 11686 NAPS INC
CHARLESTON, WV 25339
Phone number: 304-346-7313
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