Rico, Mark

Rico, Mark is an individual health care provider with primary practice located at 17593 W Polaris Dr , Goodyear AZ 85338-5473. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Rico, Mark can be contacted via phone (602) 686-3990.

Contact Information

Primary practice address
17593 W Polaris Dr Goodyear AZ 85338-5473
Phone: (602) 686-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 762067 California

Profile Details

NPI number 1710385612
LBN Legal business name Rico, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2014
Last updated Dec 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710385612 NPPES
California Other 163W00000X CALIFORNIA BOARD OF REGISTERED NURSES

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