Individual
TANARA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 GALVESTON ST SW, WASHINGTON, DC 20032-2024
(301) 665-0214
Mailing address
30 GALVESTON ST SW, WASHINGTON, DC 20032-2024
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R-263-785-098-422
—
MD
Enumeration date
12/01/2020
Last updated
12/01/2020
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