CHELSEA DIANE RICHARDSON

MOSCOW, ID
NPI1992114482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-629)
Enumeration Date2014-08-08
Last Update Date2022-07-21
Business Address
-- CHELSEA DIANE RICHARDSON
875 PERIMETER DR
MOSCOW, ID 83844-8660
Phone number: 208-885-0225
Mailing Address
-- CHELSEA DIANE RICHARDSON
11062 OAK SPUR CT APT H
SAINT LOUIS, MO 63146-1975
Phone number: 909-319-2132
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