| NPI | 1083181275 |
|---|---|
| Former Legal Business Name | TERESA RICHARDSON, LLC |
| Entity Type | Organization |
| Authorized Contact | TERESA D COMBS Owner/Provider 202-412-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |