Individual
LAQUANDA RENEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3405 S CHICKASAW TRL, ORLANDO, FL 32829-8627
(407) 494-1673
Mailing address
3405 S CHICKASAW TRL, ORLANDO, FL 32829-8627
(407) 494-1673
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
11/05/2013
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