| Doctor Name: | MRS. CAMLOAN AUDUONG RICKS |
| NPI Number: | 1043552557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | RN 60196669 |
| Business Practice Address: | 14326 Se 87th Pl Newcastle, WA - 980593429 |
| Business Phone Number: | 4252712140 |
| Business Fax Number: | |
| Mailing Address: | 14326 Se 87th Pl, NEWCASTLE |
| State: | WA |
| Postal Code: | 980593429 |
| Phone Number: | 4252712140 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2013 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | RN 60196669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |