Individual
MR. ANDRE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 BROADWAY STE 110, SCOTTSBLUFF, NE 69361-3184
(712) 218-8641
Mailing address
1517 BROADWAY STE 110, SCOTTSBLUFF, NE 69361-3184
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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