| NPI | 1407594377 |
|---|---|
| Other Name | DENNIS ALPHONSO RICHARDSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL L22000064275) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2022-05-21 |