Most Relevant Information
Provider Data
| NPI Number: | 1003213455 |
| Provider Name: | ALYSSIA RICHARDSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MT.0016933 |
Most Important Dates
| Enumeration Date: | 12/01/2014 |
| Last Updated: | 12/01/2014 |
Provider Practice Location
16723 E ITHACA PL
AURORA
CO
800132814
Practice Location Phone/Fax
| Phone: | 7202320898 |
| Fax: |
Provider Mailing Location
16723 E ITHACA PL
AURORA
CO
800132814
Provider Mailing Phone/Fax
| Phone: | 7202320898 |
| Fax: |