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Individual

MRS. EVONNE RENEE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
20905 GREENFIELD, SUITE 406, SOUTHFIELD, MI 48075
(248) 513-8229
Mailing address
20905 GREENFIELD, SUITE 406, SOUTHFIELD, MI 48075
(248) 513-8229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235422
MI

Other

Enumeration date
08/02/2017
Last updated
08/22/2019
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