Individual
TONYA LEE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-5111
(313) 745-3500
Mailing address
929 E MOREHOUSE AVE, HAZEL PARK, MI 48030-1245
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704281391
MI
Other
Enumeration date
01/03/2018
Last updated
11/11/2020
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