Individual
WILINEVAH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 CROOKS RD, LAB SUITE 2, ROYAL OAK, MI 48073-3300
(248) 841-1017
Mailing address
2530 CROOKS RD, ROYAL OAK, MI 48073-3300
(248) 841-1017
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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