Individual
MRS. KATJA DIENEEN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 N K ST, PENSACOLA, FL 32501-2729
(850) 516-1471
Mailing address
724 NORTH K STREET, PENSACOLA, FL 32501
(850) 516-1471
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
CNA45195
FL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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