JERMAINE RICHARDS

STRATFORD, CT
NPI1699033852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CT  033258)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
-- JERMAINE RICHARDS LPN
3303 MAIN ST
STRATFORD, CT 06614-4869
Phone number: 203-377-2220
Mailing Address
-- JERMAINE RICHARDS LPN
PO BOX 3072
WESPORT, CT 06880
Phone number: 203-993-9198