TYLER JAMES RICHARDSON

AUBURN UNIVERSITY, AL
NPI1780158220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S12400)
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
TYLER JAMES RICHARDSON
2316 WALKER BUILDING
AUBURN UNIVERSITY, AL 36849-0001
Phone number: 334-798-5583
Mailing Address
TYLER JAMES RICHARDSON
104 MELISSA LN
HEADLAND, AL 36345-2203
Phone number: 334-798-5583