Individual
BIANCA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7060 READ LN STE 200, NEW ORLEANS, LA 70127-2367
(504) 615-5379
Mailing address
5131 BUNDY RD APT Z13, NEW ORLEANS, LA 70127-5341
(504) 615-5379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14237
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474162822
—
LA
Enumeration date
12/18/2018
Last updated
12/07/2020
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