Individual
KATY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 651-2694
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0034564
DE
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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