Individual
TERRY RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
955 W BROADWAY AVE, MUSKEGON, MI 49441-3521
(231) 755-0637
(231) 755-6208
Mailing address
955 W BROADWAY AVE, MUSKEGON, MI 49441-3521
(231) 755-0637
(231) 755-6208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703082165
MI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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