DAVEISHA JALYNN RICHARDSON

ORANGEBURG, SC
NPI1568202869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  29811)
Enumeration Date2024-05-27
Last Update Date2025-01-24
Business Address
DAVEISHA JALYNN RICHARDSON
755 WHITMAN ST
ORANGEBURG, SC 29115-6163
Phone number: 803-534-7036
Mailing Address
DAVEISHA JALYNN RICHARDSON
5997 CAROLINA HIGHWAY
DENMARK, SC 29042
Phone number: 803-308-4716