Jonica D Richardson

NPI #1932723947 in Elgin, South Carolina

Provider Information

NPI Number: 1932723947
Entity Type: Individual
Name: Jonica D Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 417 GRAND NATIONAL LN
City: Elgin
State: South Carolina
ZIP Code: 29045-7113
Phone: (803) 904-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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