Individual
LAKISHA DANYEL RICHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2871 ALASKAN WAY, JACKSONVILLE, FL 32226-5849
(904) 465-9005
Mailing address
PO BOX 26755, JACKSONVILLE, FL 32226-6755
(904) 465-9005
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/27/2018
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