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Individual

BRYAN RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
4619 NE 112TH AVE APT N206, VANCOUVER, WA 98682-5410
(619) 818-3390

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60431235
WA

Other

Enumeration date
03/26/2020
Last updated
03/26/2020
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