Individual
MS. CAROLE JOY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8010 FROST ST, SUITE 414, SAN DIEGO, CA 92123-2778
(858) 966-7711
(858) 966-7712
Mailing address
1441 E 17TH ST, NATIONAL CITY, CA 91950-5018
(619) 477-6162
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10775
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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