RICHARDSON DESMANGLES

KENNESAW, GA
NPI1467100487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  307243)
Enumeration Date2022-03-17
Last Update Date2025-03-05
Business Address
RICHARDSON DESMANGLES FNP-C
50 WALTON GREEN WAY NW APT 322
KENNESAW, GA 30144-1295
Phone number: 260-479-0409
Mailing Address
RICHARDSON DESMANGLES FNP-C
3915 CASCADE RD SW STE T-90
ATLANTA, GA 30331-8660
Phone number: 404-564-7749
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