Organization
A BEAUTFUL SOUL HOME HEALTHCARE/HOUSEKEEPING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY SHAUNTE RICHARDSON MEDICAL ASSISTANT (OWNER)
(775) 342-7437
Entity
Organization
Contact information
Practice address
3528 MASHIE DR, SPARKS, NV 89431-8522
(775) 342-7437
Mailing address
3528 MASHIE DR, SPARKS, NV 89431-8522
(775) 342-7437
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
491105
NV
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
Update your record
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