Individual
ANNIKO RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
100 KENNEDY ST, PELL CITY, AL 35128-7665
(205) 863-0082
Mailing address
100 KENNEDY ST, PELL CITY, AL 35128-7665
(205) 863-0082
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
AL
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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