MS. Traci Julia Richardson

NPI #1063019503 in Colton, California

Provider Information

NPI Number: 1063019503
Entity Type: Individual
Name: MS. Traci Julia Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 7, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 1316 S MEADOW LN APT 161
City: Colton
State: California
ZIP Code: 92324-6411
Phone: (818) 233-9708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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