Individual
BLOSSOM ANGELLA RICHARDS-RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6355 BROADWAY, BRONX, NY 10471-2701
(718) 305-7333
(718) 831-7802
Mailing address
1267 57TH ST, BROOKLYN, NY 11219-4572
(718) 841-8000
(718) 475-1791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
381855-1
NY
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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