Individual
S ANGELA R RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 S JAMES CAMPBELL BLVD STE 7A, COLUMBIA, TN 38401-5358
(931) 381-0020
Mailing address
107 MOUNT ZION RD, LEOMA, TN 38468-5523
(931) 556-2224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83818
TN
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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