Individual
RICHALY LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S MONROE AVE STE 106, GREEN BAY, WI 54301-4054
(920) 544-0346
(920) 489-8233
Mailing address
424 S MONROE AVE STE 106, GREEN BAY, WI 54301-4054
(920) 544-0346
(920) 489-8233
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003719
WI
174400000X
Specialist
703436
CA
Other
Enumeration date
08/31/2012
Last updated
09/17/2020
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