Individual
TYREKIA RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CLEAR CRK, FORT MITCHELL, AL 36856-4436
(706) 332-5478
Mailing address
8 CLEAR CRK, FORT MITCHELL, AL 36856-4436
(706) 332-5478
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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