Lakisha Danyel Richo

NPI #1013413533 in Jacksonville, Florida

Provider Information

NPI Number: 1013413533
Entity Type: Individual
Name: Lakisha Danyel Richo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 3, 2018
Last Updated: Apr 27, 2018

Practice Location

Address: 2871 ALASKAN WAY
City: Jacksonville
State: Florida
ZIP Code: 32226-5849
Phone: (904) 465-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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