Most Relevant Information
Provider Data
| NPI Number: | 1003425141 |
| Provider Name: | MELISA RICKARD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 335088 |
Most Important Dates
| Enumeration Date: | 07/24/2020 |
| Last Updated: | 07/24/2020 |
Provider Practice Location
3636 PRATT AVE FL 2
BRONX
NY
104665951
Practice Location Phone/Fax
| Phone: | 3475434775 |
| Fax: |
Provider Mailing Location
3636 PRATT AVE FL 2
BRONX
NY
104665951
Provider Mailing Phone/Fax
| Phone: | 3475434775 |
| Fax: |