IDAHLIA ETHEL RICHARDSON

HOUSTON, TX
NPI1295198596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  AP129798)
Enumeration Date2016-04-04
Last Update Date2016-09-08
Business Address
-- IDAHLIA ETHEL RICHARDSON AGNP
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4009
Phone number: 713-792-6161
Mailing Address
-- IDAHLIA ETHEL RICHARDSON AGNP
P O BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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