Individual
GLORIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 KANSAS AVE NE, WASHINGTON, DC 20012-2105
(202) 629-2169
Mailing address
6417 KANSAS AVE NE, WASHINGTON, DC 20012-2105
(202) 629-2169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN68274
DC
310400000X
Assisted Living Facility
Primary
ALR0027
DC
Other
Enumeration date
10/10/2016
Last updated
05/09/2017
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