Individual
SUZETTA RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1739 FOURTH STREET, SANTA ROSA, CA 95404-3601
(707) 528-6331
(707) 528-6587
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
584003
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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