Individual
ALICIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 SE FARLEY RD, PORT SAINT LUCIE, FL 34952-5837
(954) 410-8974
Mailing address
2812 SE FARLEY RD, PORT SAINT LUCIE, FL 34952-5837
(954) 410-8974
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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