Individual
ALYSSE CORAVON RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
671 NW 119TH ST, MIAMI, FL 33168-2522
(305) 688-0811
Mailing address
671 NW 119TH ST, MIAMI, FL 33168-2522
(305) 688-0811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020665100
—
FL
Enumeration date
01/27/2014
Last updated
12/11/2017
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