Individual
BEVERLY KAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 WARREN ST, REDWOOD CITY, CA 94063-1578
(650) 740-9538
Mailing address
4984 ROSELLE CMN, FREMONT, CA 94536-7921
(510) 713-8932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19461
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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