Tyquan Richardson

NPI #1790521771 in Scranton, South Carolina

Provider Information

NPI Number: 1790521771
Entity Type: Individual
Name: Tyquan Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Jul 8, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 3011 OLD CREEK RD
City: Scranton
State: South Carolina
ZIP Code: 29591-5652
Phone: (843) 598-6480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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