Individual
MARLA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
917 SAGE MEADOW DR, GLENN HEIGHTS, TX 75154-8440
(214) 592-1512
Mailing address
917 SAGE MEADOW DR, GLENN HEIGHTS, TX 75154-8440
(214) 592-1512
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
140536
TX
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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