NPI 1104475854
Artesia Richmond
Practice location
- Address
- 2510 Lakeland Ter, Jackson, MS 39216-4702
- Phone
- (601) 982-7827
- Fax
- (601) 822-0303
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1104475854
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Sep 2019
- Record last updated
- 5 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.