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Individual

ALLIE RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4701 W PARK AVE, HOUMA, LA 70364-4426
(225) 331-1244
Mailing address
2160 T POCHE ST, PAULINA, LA 70763-2600
(225) 331-1244

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/15/2021
Last updated
12/09/2025
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