WAYNE B RICHARDSON

STOCKTON, CA
NPI1225300692
Professional NameWAYNE RICHARDSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2012-02-01
Last Update Date2025-05-09
Business Address
WAYNE B RICHARDSON
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-810-5864
Mailing Address
WAYNE B RICHARDSON
3120 E ANITA ST
STOCKTON, CA 95205-3905
Phone number: 209-415-0315
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