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Individual

MRS. LORETTA C RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(860) 307-2937
(203) 754-0788
Mailing address
134 GRANDVIEW AVE, SUITE 210, WATERBURY, CT 06708-2507
(860) 307-2937
(203) 754-0788

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000166
CT
367A00000X
Advanced Practice Midwife
RN2340005
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004209509
CT
05
1063492452
CT
Enumeration date
01/20/2006
Last updated
06/01/2020
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