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NPI Code Detail

MEDICARE: PRETTI RICKI HEALING HANDS LLC

MEDICARE: PRETTI RICKI HEALING HANDS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1184576100
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRETTI RICKI HEALING HANDS LLC
Provider Business Mailing Address
First Line : 6340 SECURITY BLVD STE 100
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-5284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6340 SECURITY BLVD STE 100
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-5284
Country : US
Telephone Number : 443-909-9869
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DESTINY RICKI BUTLER
Credential : NP
Telephone Number : 443-909-9869
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “PRETTI RICKI HEALING HANDS LLC ” Practice Location

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