HALEY C RICHARDSON

JEFFERSONVILLE, IN
NPI1104454768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10003008A)
Additional Taxonomies363A00000X Physician Assistant
363A00000X Physician Assistant
(Licence: KY  TC165)
Enumeration Date2020-03-30
Last Update Date2025-03-10
Business Address
HALEY C RICHARDSON
1220 SPRING ST
JEFFERSONVILLE, IN 47130-3704
Phone number: 812-282-8494
Mailing Address
HALEY C RICHARDSON
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490