JERALD SCOTT RICHARDSON

LONG BEACH, CA
NPI1083727671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
Additional Taxonomies224P00000X Prosthetist
225000000X Orthotic Fitter
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
-- JERALD SCOTT RICHARDSON
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
Mailing Address
-- JERALD SCOTT RICHARDSON
2892 KEMPTON DR
LOS ALAMITOS, CA 90720-4660
Phone number: 562-430-9542
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