Individual
ANITA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
(760) 873-3277
Mailing address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
(760) 873-3277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
445322
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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