Most Relevant Information
Provider Data
| NPI Number: | 1003423963 |
| Provider Name: | MARLA RICHARDSON LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 140536 |
Most Important Dates
| Enumeration Date: | 09/25/2020 |
| Last Updated: | 09/25/2020 |
Provider Practice Location
917 SAGE MEADOW DR
GLENN HEIGHTS
TX
751548440
Practice Location Phone/Fax
| Phone: | 2145921512 |
| Fax: |
Provider Mailing Location
917 SAGE MEADOW DR
GLENN HEIGHTS
TX
751548440
Provider Mailing Phone/Fax
| Phone: | 2145921512 |
| Fax: |