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NPI Profile for COREY RICCARDI in LARGO, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X |
| NPI # | 1164793535 |
|
| Status | Active | |
| Credentials | R.N., IBCLC | |
| Entity | Individual | |
| Enumeration date | 01/18/2012 | |
| Last updated | 01/18/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COREY RICCARDI
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COREY RICCARDI, R.N., IBCLC