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PENNY JILL RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4TH AND PARQUE, MAXWELL, NM 87728
(575) 375-3003
Mailing address
PO BOX 275, MAXWELL, NM 87728-0275
(575) 375-3003

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
2009018552
MO

Other

Enumeration date
12/10/2020
Last updated
10/18/2023
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