Individual
DESTINY ROSALIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 ESSEX ST APT 4, BANGOR, ME 04401-5365
(207) 323-1782
Mailing address
177 ESSEX ST APT 4, BANGOR, ME 04401-5365
(207) 323-1782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
4016341
ME
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
About Stedi
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