Individual
MRS. ANNA MARIE RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
235 PRATT ST, WATERTOWN, NY 13601-4310
(315) 405-1755
Mailing address
235 PRATT ST, WATERTOWN, NY 13601-4310
(315) 405-1755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275576
NY
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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