Individual
MS. WILLOW RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S WASHINGTON SQ, GARDEN LEVEL, SUITE A, LANSING, MI 48933-1887
(517) 974-6205
Mailing address
134 N FRANCIS AVE, LANSING, MI 48912-4110
(517) 974-6205
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501003626
MI
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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