Octavia Paulette Richardson
NPI #1306619796 in Logansport, Louisiana
Provider Information
- NPI Number
- 1306619796
- Entity Type
- Individual
- Name
- Octavia Paulette Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 501 N BOGLE RD APT 16
- City
- Logansport
- State
- Louisiana
- ZIP Code
- 71049-2613
- Phone
- (936) 427-0374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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