SANDRA DELVALLE RICHARDSON

SHREVEPORT, LA
NPI1417351446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA200735)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA09380)
Enumeration Date2014-10-20
Last Update Date2024-12-19
Business Address
Mrs. SANDRA DELVALLE RICHARDSON PA-C
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
Mrs. SANDRA DELVALLE RICHARDSON PA-C
1666 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5714
Phone number: 318-212-3520
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