MARCIA JEAN RICKETSON

MOORE, OK
NPI1720010416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  710)
Enumeration Date2006-07-06
Last Update Date2009-06-17
Business Address
Ms. MARCIA JEAN RICKETSON P.A.C.
216 NE 12TH ST
MOORE, OK 73160-5830
Phone number: 405-794-2530
Mailing Address
Ms. MARCIA JEAN RICKETSON P.A.C.
2829 CHAUCER DR
OKLAHOMA CITY, OK 73120-2804
Phone number: 405-496-8059