Dominique Patrick Richardson
NPI #1568976231 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1568976231
- Entity Type
- Individual
- Name
- Dominique Patrick Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Nov 16, 2017
- Last Updated
- Nov 16, 2017
Practice Location
- Address
- 301 EDGEWATER PL STE 100
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-1281
- Phone
- (855) 832-6727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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