Individual
ANGELA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W ILLINOIS AVE, ENID, OK 73701-7352
(580) 805-1298
Mailing address
308 W ILLINOIS AVE, ENID, OK 73701-7352
(580) 805-1298
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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