Individual
CHARISE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20207 VETERANS DR, ELKHORN, NE 68022-2839
(708) 298-2704
Mailing address
20207 VETERANS DR, ELKHORN, NE 68022-2839
(708) 298-2704
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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