Individual
APRIL ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7989 N 1900TH ST, WILLOW HILL, IL 62480-2310
(618) 455-3169
Mailing address
7989 N 1900TH ST, WILLOW HILL, IL 62480-2310
(618) 455-3169
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
W-179572
IL
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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