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NPI Code Detail

MEDICARE: LATONYA M RICHARDSON

MEDICARE:   LATONYA M RICHARDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideOH

General Provider Information

NPI Number : 1811772890
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATONYA M RICHARDSON
Provider Business Mailing Address
First Line : 1116 OLIVIA LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-4518
Country : US
Telephone Number : 513-828-3417
Fax Number :
Provider Business Practice Location Address
First Line : 1116 OLIVIA LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-4518
Country : US
Telephone Number : 513-828-3417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 08/29/2023

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Directions to “ LATONYA M RICHARDSON ” Practice Location

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