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 Date2023-12-14
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
1742 OREGON ST
REDDING, CA 96001-1717
Phone number: 530-646-7269
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