Individual
KIMBERLEY ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8048 US HIGHWAY 96 N, TENAHA, TX 75974-2654
(936) 332-9194
Mailing address
8048 US HIGHWAY 96 N, TENAHA, TX 75974-2654
(936) 332-9194
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345020
TX
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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