Individual
PARIS JEREMIAH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44205 S AIRPORT RD, HAMMOND, LA 70403-0305
(985) 351-3034
Mailing address
PO BOX 851, HAMMOND, LA 70404-0851
(985) 351-3034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
011863107
LA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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