Individual
GRETA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E. 6TH STREET, WELEETKA, OK 74880-0278
(405) 786-2203
(405) 786-2625
Mailing address
PO BOX 278, 302 E. 6TH STREET, WELEETKA, OK 74880-0278
(405) 786-2203
(405) 786-2625
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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