| Doctor Name: | MONICA RICCOMINI |
| NPI Number: | 1750524914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | NP 18386 |
| Business Practice Address: | 203 Walker St Ste 3 Orland, CA - 959631457 |
| Business Phone Number: | 5308655400 |
| Business Fax Number: | 5308655455 |
| Mailing Address: | 203 Walker St Ste 3, ORLAND |
| State: | CA |
| Postal Code: | 959631457 |
| Phone Number: | 5308655400 |
| Fax Number: | 5308655455 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP 18386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |