Individual
CHRISTY DAWN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 N WILSON ST, CRESTVIEW, FL 32536-3438
(850) 306-3003
Mailing address
212 N WILSON ST, CRESTVIEW, FL 32536-3438
(850) 306-3003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-056992
AL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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