Individual
DYNISHA BERNEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 VICTORIAN AVE, SPARKS, NV 89431
(775) 203-2783
Mailing address
616 VICTORIAN AVE, SPARKS, NV 89431-5024
(775) 203-2783
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
C-35679
NV
Other
Enumeration date
04/05/2019
Last updated
05/21/2020
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