RICKEY LEE SOUTHWELL

REDDING, CA
NPI1952811051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54920)
Enumeration Date2017-10-04
Last Update Date2025-04-09
Business Address
MR. RICKEY LEE SOUTHWELL PA-C
1742 OREGON ST
REDDING, CA 96001-1717
Phone number: 530-646-7269
Mailing Address
MR. RICKEY LEE SOUTHWELL PA-C
2400 WASHINGTON AVE STE 100
REDDING, CA 96001-2814
Phone number: 530-530-2267