Individual
LARRISA LESHAY RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 E GARRISON BLVD STE D, GASTONIA, NC 28054-0421
(704) 671-2193
Mailing address
128 E GARRISON BLVD STE D, GASTONIA, NC 28054-0421
(704) 671-2193
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NC
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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