Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DS037398 | PA |
N | 213EG0000X | General Practice | DS037398 | PA |
Y | 1223P0221X | Pediatric Dentist | 6833 | LA |
N | 1223P0221X | Pediatric Dentist | DS037398 | PA |
NPI | 1083890222 |
---|---|
Provider Name | Dr. Afua A Richardson |
First Address | New Orleans, LA 70115-1950 |
Second Address | Metairie, LA 70006-4235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 27/03/2018 |