Individual
FELICIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SE 1ST AVE STE 200D-7, OCALA, FL 34471-2176
(407) 968-0121
Mailing address
6336 BAYLOR AVE, KEYSTONE HEIGHTS, FL 32656-6032
(407) 968-0121
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
112942900
FL
Other
Enumeration date
04/08/2024
Last updated
04/09/2024
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