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1285629428
KRISTIN DIANE RICKELMAN
WOODLAND, CA
NPI
1285629428
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Former Name
KRISTIN RICKELMAN RIOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP 17161)
Enumeration Date
2005-09-14
Last Update Date
2020-07-16
Business Address
Ms. KRISTIN DIANE RICKELMAN NP
2081 BRONZE STAR DR
WOODLAND, CA 95776-5423
Phone number: 530-668-2600
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Mailing Address
Ms. KRISTIN DIANE RICKELMAN NP
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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