Individual
ANNETTE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11428 N 53RD ST, TAMPA, FL 33617-2216
(813) 374-9416
Mailing address
11428 N 53RD ST, TAMPA, FL 33617-2216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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