RONDELL L RICHARDSON

CHARLOTTE, NC
NPI1578763421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   C22362)
Additional Taxonomies222Z00000X Orthotist
(Licence:   CO004511)
Enumeration Date2007-07-19
Last Update Date2020-08-02
Business Address
RONDELL L RICHARDSON CO, BOCP
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC 28269-8194
Phone number: 704-510-2204
Mailing Address
RONDELL L RICHARDSON CO, BOCP
PO BOX 373
HARRISBURG, NC 28075-0373
Phone number: 704-641-7221
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