Individual
CHASITY DANIELLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5281 NAVY RD, MILLINGTON, TN 38053-2535
(901) 873-0305
Mailing address
5281 NAVY RD, MILLINGTON, TN 38053-2535
(901) 873-0305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000087545
TN
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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