Individual
MR. JOHNNY O'NEAL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 N 16TH ST, BATON ROUGE, LA 70802-3510
(225) 268-3340
Mailing address
1755 N 16TH ST, BATON ROUGE, LA 70802-3510
(225) 268-3340
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9417101
LA
Other
Enumeration date
01/20/2010
Last updated
04/11/2017
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