Individual
CANDICE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4165
Mailing address
1547 MILITARY RD, BOGALUSA, LA 70427-2902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130239
LA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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