Individual
ASHLEY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 NAUTILUS RD, MIDDLEBURG, FL 32068-6606
(904) 863-4026
Mailing address
3009 NAUTILUS RD, MIDDLEBURG, FL 32068-6606
(904) 863-4026
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747P1801X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110420800
—
FL
Enumeration date
10/14/2021
Last updated
10/14/2021
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