Individual
VIVIAN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 N HIGHWAY 67, FLORISSANT, MO 63031-4701
(314) 666-9887
Mailing address
1117 N HIGHWAY 67, FLORISSANT, MO 63031-4701
(314) 666-9887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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