Individual
JANICE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15986 TURTLE BAY PL, FONTANA, CA 92336-4543
(909) 641-8191
Mailing address
15986 TURTLE BAY PL, FONTANA, CA 92336-4543
(909) 641-8191
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95060828
CA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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