Individual
MALLORY LATOYA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1970 BRADFORD HICKS DR STE B, LIVINGSTON, TN 38570-2247
(931) 403-2552
(931) 403-2556
Mailing address
1970 BRADFORD HICKS DR STE B, LIVINGSTON, TN 38570-2247
(931) 403-2552
(931) 403-2556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168889
TN
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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