Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DE60069948 | WA |
NPI | 1093822892 |
---|---|
Provider Name | Julia A Richman |
First Address | Covington, WA 98042-9102 |
Second Address | Covington, WA 98042-9102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 10/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093822892 | (05) | WA |