Individual
SHENA-SHARISE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 BRUCE B DOWNS BLVD # 7, WESLEY CHAPEL, FL 33544-9261
(727) 512-7271
Mailing address
16350 BRUCE B DOWNS AVE, 47301, TAMPA, FL 33646-9001
(727) 512-7271
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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