| NPI | 1982207205 |
|---|---|
| Other Name | MELISSA ANN RICKENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA062077) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062077) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2025-02-26 |