Individual
TYRANDIA T RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 FORESTHILL DR, COLUMBUS, GA 31907-3019
(706) 427-4936
Mailing address
2401 DELBROCK DR, PHENIX CITY, AL 36869-7149
(706) 427-4936
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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