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Individual

LYNETTE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
4697 HARVEST KNOLL LN, MEMPHIS, TN 38125-4714
(901) 612-6966
(901) 730-1127
Mailing address
4697 HARVEST KNOLL LN, MEMPHIS, TN 38125-4714
(901) 612-6966
(901) 730-1127

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00173063
TN

Other

Enumeration date
07/25/2016
Last updated
07/25/2016
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