Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 1347 | VI |
NPI | 1114034568 |
---|---|
Provider Name | Dr. Condon Arlette Richardson |
First Address | St. Thomas, VI 00801 |
Second Address | St. Thomas, VI 00802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2007 |