Individual
JASMINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TREGONEY DR, DECATUR, GA 30034-1114
(470) 546-1363
Mailing address
30 TREGONEY DR, DECATUR, GA 30034-1114
(470) 546-1363
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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