Tanisha Ricketts
Tanisha Ricketts is a Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2026
Practice location Address checks out
721 N Lincoln Ave # AScranton, PA 18504-1510
Phone: (984) 310-1642
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 377384 (NC) |
|---|
Record details
| NPI number | 1891641858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2026 |
| Last updated in NPPES | March 10, 2026 |
| Certification date | March 10, 2026 |
| Mailing address | 721 N Lincoln Ave # A, Scranton, PA 18504-1510 |
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