Individual
CAMILLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151-1647
(571) 446-3780
Mailing address
14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151-1647
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001241927
VA
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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