Individual
RENEE FRANCES RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
1935 S 3RD AVE, MAYWOOD, IL 60153-3315
(773) 876-8618
Mailing address
1935 S 3RD AVE, MAYWOOD, IL 60153-3315
(773) 876-8618
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011.286053
IL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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