Most Relevant Information
Provider Data
| NPI Number: | 1003419250 |
| Provider Name: | ZACKARY RYAN RICKENBACKER |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2020 |
| Last Updated: | 11/19/2020 |
Provider Practice Location
6725 S EASTERN AVE STE 1
LAS VEGAS
NV
891193949
Practice Location Phone/Fax
| Phone: | 7023316200 |
| Fax: |
Provider Mailing Location
6725 S EASTERN AVE STE 1
LAS VEGAS
NV
891193949
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |