Individual
LINDA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 DEBORAH CT, PLATTEVILLE, WI 53818-1336
(608) 348-5349
Mailing address
165 MAPLE DR, PLATTEVILLE, WI 53818-2314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26809-31
WI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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