Individual
DR. NAKISHA MARIE CARRASQUILLO-RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. P.
Contact information
Practice address
1301 PLANTATION ISLAND DR S, STE. 201 A, ST AUGUSTINE, FL 32080-3108
(904) 342-5965
Mailing address
1301 PLANTATION ISLAND DR S, STE. 201 A, ST AUGUSTINE, FL 32080-3108
(904) 342-5965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 9746
FL
Other
Enumeration date
12/08/2016
Last updated
12/27/2016
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