OCTAVIA RICHARDSON

Contractor

Active Individual
NPI: 1306619796

Practice Address

501 N BOGLE RD APT 16
Logansport, LA 71049

Phone: (936) 427-0374

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1306619796 is the National Provider Identifier for OCTAVIA RICHARDSON, a Contractor provider located in Logansport, LA. This NPI was enumerated on November 6, 2023.
OCTAVIA RICHARDSON practices at 501 N BOGLE RD APT 16, Logansport, LA 71049.

Quick Facts

NPI
1306619796
Type
Individual
Enumerated
Nov 6, 2023
Last Updated
Nov 6, 2023

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