Individual
CHANDRA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2137 LEAHY ST, MUSKEGON, MI 49444-1124
(231) 578-0656
Mailing address
2137 LEAHY ST, MUSKEGON, MI 49444-1124
(231) 578-0656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703098161
MI
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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