Individual
KAYLAN RANDALL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 COMMERCIAL DR, HAMMOND, LA 70403-5972
(985) 956-7560
Mailing address
46336 CHARLES DR, HAMMOND, LA 70401-4027
(985) 507-4167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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