Individual
MRS. ALVINA JONES RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 DAVIS RD APT 38, TAMPA, FL 33637-3306
(813) 408-3959
Mailing address
PO BOX 16996, TAMPA, FL 33687-6996
(813) 408-3959
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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