Individual
DORIS A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 S 15TH ST, WACO, TX 76706-3546
(254) 759-1111
Mailing address
2620 S 15TH ST, WACO, TX 76706-3546
(254) 759-1111
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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