Individual
YEONG RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 S HAVANA ST, AURORA, CO 80014-1014
(303) 750-0036
Mailing address
5813 S DANUBE ST, AURORA, CO 80015-5104
(720) 277-5116
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN0185593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900014378
—
CO
Enumeration date
11/22/2017
Last updated
11/22/2017
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