Individual
KRISTAL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 LAKE ST APT 2F, OAK PARK, IL 60302-2612
(708) 613-0223
Mailing address
320 LAKE ST APT 2F, OAK PARK, IL 60302-2612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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