Individual
JATARRA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6827 WOODCREEK LN, DOUGLASVILLE, GA 30135-1681
(470) 421-4260
Mailing address
6827 WOODCREEK LN, DOUGLASVILLE, GA 30135-1681
(470) 421-4260
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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