Individual
MR. BOBBY JOHN RICHARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
449 E SAINT PETER ST, NEW IBERIA, LA 70560-3752
(373) 321-9204
(337) 321-9210
Mailing address
449 E SAINT PETER ST, NEW IBERIA, LA 70560-3752
(373) 321-9204
(337) 321-9210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
01/13/2023
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