Individual
MICHAL DIANE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MARTIN L KING BLVD STE 202, NORTH LAS VEGAS, NV 89032-7675
(702) 909-9333
(702) 909-9262
Mailing address
10417 WALWORTH AVE, LAS VEGAS, NV 89166-6504
(702) 708-9544
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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