Individual
KAYLI RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7520 POTRANCO RD APT 2206, SAN ANTONIO, TX 78251-2137
(937) 336-9464
Mailing address
7520 POTRANCO RD APT 2206, SAN ANTONIO, TX 78251-2137
(937) 336-9464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1025285
TX
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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