Individual
CEDRIC R RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 COMMERCIAL DR APT 20, PORT ALLEN, LA 70767-6183
(225) 439-8638
Mailing address
2480 COMMERCIAL DR APT 20, PORT ALLEN, LA 70767-6183
(225) 439-8638
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
6421917
LA
Other
Enumeration date
04/20/2016
Last updated
03/02/2026
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