Organization
RICHARDSON ENTERPRISES, INC.
Active
Organization
RICHARDSON ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI RICHARDSON CRNA (OWNER)
(208) 476-9093
Entity
Organization
Contact information
Practice address
319 115TH ST, OROFINO, ID 83544-9375
(208) 476-9093
Mailing address
319 115TH ST, OROFINO, ID 83544-9375
(208) 476-9093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-487A
ID
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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