Doctor Name: | JOCELYN C RICASA |
NPI Number: | 1285894071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MT196434 |
Business Practice Address: | 828 Healthy Way Suite 220 Virginia Beach, VA - 234627958 |
Business Phone Number: | 7573051797 |
Business Fax Number: | 7573094715 |
Mailing Address: | 828 Healthy Way, Suite 220 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234627958 |
Phone Number: | 7573051797 |
Fax Number: | 7573094715 |
NPI Enumeration Date: | 06/15/2008 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT196434 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |