IRA ANDRE RICHARDSON

SOUTHAVEN, MS
NPI1558375279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  APRN810056)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- IRA ANDRE RICHARDSON CRNA
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-349-4000
Mailing Address
-- IRA ANDRE RICHARDSON CRNA
6387 S MASSEY HILL DR
MEMPHIS, TN 38120-1407
Phone number: 901-374-9901
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