Individual
MS. ASHLEY MARIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1053
Mailing address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005762
MI
Other
Enumeration date
06/29/2010
Last updated
04/03/2024
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