Individual
CELIA MARGARETHE BROTHERTON-RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 BRYANT DR, ROLLA, MO 65401-2957
(573) 263-4750
Mailing address
103 BRYANT DR, ROLLA, MO 65401-2957
(573) 263-4750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003021392
MO
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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