Individual
TINA M RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
22516 HIGHWAY 36 APT D215, ABITA SPRINGS, LA 70420-3840
(985) 400-5190
Mailing address
22516 HIGHWAY 36 APT D215, ABITA SPRINGS, LA 70420-3840
(985) 400-5190
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1522-1670
LA
Other
Enumeration date
04/06/2013
Last updated
04/06/2013
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