Most Relevant Information
Provider Data
| NPI Number: | 1003419680 |
| Provider Name: | CRYSTAL EVANGELINE RICHARDSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95229238 |
Most Important Dates
| Enumeration Date: | 11/17/2020 |
| Last Updated: | 11/17/2020 |
Provider Practice Location
5397 NORWAY DR
VENTURA
CA
930011043
Practice Location Phone/Fax
| Phone: | 8055156199 |
| Fax: |
Provider Mailing Location
5397 NORWAY DR
VENTURA
CA
930011043
Provider Mailing Phone/Fax
| Phone: | 8055156199 |
| Fax: |