Laverne Richard
Technician, Other in Hallandale Beach, FL. Individual provider (NPI-1).
NPI number1982149530
StatusActive
Last updated in NPPESJan 5, 2017
Details
- NPI
- 1982149530
- Entity type
- Individual (NPI-1)
- Name
- Laverne Richard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2017
- Last updated
- Jan 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
100 Sw 9th StAp B
Hallandale Beach, FL 33009-7026
Phone 340-201-9561
Mailing address
100 Sw 9th StAp B
Hallandale Beach, FL 33009-7026
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