DEVON JERMAINE RICHARDSON

HUMBOLDT, TN
NPI1417672668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: TN  149496)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
DEVON JERMAINE RICHARDSON
611 ETHERIDGE ST
HUMBOLDT, TN 38343-2357
Phone number: 731-326-2705
Mailing Address
DEVON JERMAINE RICHARDSON
611 ETHERIDGE ST
HUMBOLDT, TN 38343-2357
Phone number: 731-326-2705