Individual
MIA LYNN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-GHNKDL
CA
Other
Enumeration date
02/16/2024
Last updated
02/04/2025
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