Individual
TIERRA SHANEL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 GALLANT FOX LN, BOWIE, MD 20715-4003
(301) 805-4348
Mailing address
15616 BURFORD LN, UPPER MARLBORO, MD 20774-8410
(240) 893-1510
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R20340
MD
Other
Enumeration date
12/26/2017
Last updated
06/14/2022
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