CHARLES RICHARDSON

LAS VEGAS, NV
NPI1376987172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- CHARLES RICHARDSON
2349 RENAISSANCE DR
LAS VEGAS, NV 89119-6191
Phone number: 702-739-7716
Mailing Address
-- CHARLES RICHARDSON
2349 RENAISSANCE DR
LAS VEGAS, NV 89119-6191
Phone number: 702-739-7716
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