Individual
KEAUNDRA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 HULLSMITH DR, HOUSTON, TX 77063-4642
(248) 747-3423
Mailing address
5868 WESTHEIMER RD # 547, HOUSTON, TX 77057-5641
(248) 747-3423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905202
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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