Individual
MS. CRYSTAL RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 N MAYFAIR RD, SUITE 202C, WAUWATOSA, WI 53226-3430
(185) 591-6877
Mailing address
1109 N MAYFAIR RD, SUITE 202C, WAUWATOSA, WI 53226-3430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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