Individual
AMBER JASMINE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
6882 E ANDREWS AVE, FRESNO, CA 93727-9108
(559) 360-3819
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95220070
CA
164X00000X
Licensed Vocational Nurse
689788
CA
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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