Individual
LORETTA RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 MISSOURI AVE # 1258, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0049
(573) 596-0313
Mailing address
4430 MISSOURI AVE # 1258, FORT LEONARD WOOD, MO 65473-9098
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2016021642
MO
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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