| Nancy Crespo-richardson Llc | |
|
8637 Mathis Ave Manassas VA 20110-5270 | |
| (571) 358-9265 | |
| Not Available |
| Full Name | Nancy Crespo-richardson Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8637 Mathis Ave, Manassas, Virginia |
| Authorized Official Name and Position | Nancy Katherine Crespo-richardson (OWNER AND PROVIDER) |
| Authorized Official Contact | 2192292300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Crespo-richardson Llc 8637 Mathis Ave Manassas VA 20110-5270 Ph: (571) 358-9265 | Nancy Crespo-richardson Llc 8637 Mathis Ave Manassas VA 20110-5270 Ph: (571) 358-9265 |
| NPI Number | 1700482569 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700482569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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