Individual
DIANNA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, MS, BS
Contact information
Practice address
606 DIX RD, JEFFERSON CITY, MO 65109-4724
(573) 893-9999
Mailing address
606 DIX RD, JEFFERSON CITY, MO 65109-4724
(573) 893-9999
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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