Individual
MARISSA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PARKER AVE, KALAMAZOO, MI 49008-3141
(269) 492-7842
(269) 492-7844
Mailing address
925 PARKER AVE, KALAMAZOO, MI 49008-3141
(269) 492-7842
(269) 492-7844
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
MI
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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