Provider Demographics
NPI:1932877164
Name:HOWARD, RICKY
Entity Type:Individual
Prefix:
First Name:RICKY
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 SYCAMORE LN APT 202
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1347
Mailing Address - Country:US
Mailing Address - Phone:240-726-0252
Mailing Address - Fax:
Practice Address - Street 1:201 58TH ST NE APT 343
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6823
Practice Address - Country:US
Practice Address - Phone:202-396-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant