Individual
BRANDI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 HARVARD BLVD, DAYTON, OH 45406-4128
(937) 520-0517
Mailing address
3306 HARVARD BLVD, DAYTON, OH 45406-4128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131044
OH
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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