Individual
MRS. CANDIE DAVIS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1748 IRON BRIDGE RD, HAVANA, FL 32333-5294
(850) 539-3865
(850) 539-0736
Mailing address
1748 IRON BRIDGE RD, HAVANA, FL 32333-5294
(850) 539-3865
(850) 539-0736
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905367
FL
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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