Jaclyn Richardson

NPI #1083846687 in Arkadelphia, Arkansas

Provider Information

NPI Number
1083846687
Entity Type
Individual
Name
Jaclyn Richardson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Enumeration Date
Aug 14, 2009
Last Updated
Aug 14, 2009

Practice Location

Address
2410 PINE ST
ZIP Code
71923-4335
Phone
(870) 245-2210

Specialties & Taxonomy Codes

Specialty
Technician, Other

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