Individual
AMBER LYNN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
66 STATE ST, PORTLAND, ME 04101-3751
(207) 871-7431
Mailing address
812 SOKOKIS AVE, LIMINGTON, ME 04049-3530
(207) 221-6694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R055442
ME
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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