Charles Richardson

NPI #1376987172 in Las Vegas, Nevada

Provider Information

NPI Number
1376987172
Entity Type
Individual
Name
Charles Richardson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Apr 23, 2013
Last Updated
Apr 23, 2013

Practice Location

Address
2349 RENAISSANCE DR
State
Nevada
ZIP Code
89119-6191
Phone
(702) 739-7716

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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