Individual
MISTY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1733 VALLEY RD APT D, CHAMPAIGN, IL 61820-7166
(217) 418-6600
Mailing address
1733 VALLEY RD APT D, CHAMPAIGN, IL 61820-7166
(217) 418-6600
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
IL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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