Individual
CHIQUITA R RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
78 E HALLEY LN, CENTRAL ISLIP, NY 11722-2212
(516) 983-1040
(631) 532-1819
Mailing address
78 E HALLEY LN, CENTRAL ISLIP, NY 11722-2212
(516) 983-1040
(631) 532-1819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331582
NY
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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