RICHARD BRYCE SIDEBOTHAM

FRESNO, CA
NPI1538907555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2024-07-15
Last Update Date2025-05-28
Business Address
RICHARD BRYCE SIDEBOTHAM
2549 W SHAW AVE
FRESNO, CA 93711-3308
Phone number: 559-264-7521
Mailing Address
RICHARD BRYCE SIDEBOTHAM
2549 W SHAW AVE
FRESNO, CA 93711-3308
Phone number: 559-264-7521
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