DENNIS RAY RICHARDSON

SHREVEPORT, LA
NPI1669756896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: LA  105)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
-- DENNIS RAY RICHARDSON
1310 NORTH HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
Mailing Address
-- DENNIS RAY RICHARDSON
PO BOX 7904
SHREVEPORT, LA 71137-7904
Phone number: 318-676-5111