JUSTIN JORDAN RICHARDSON

LOS ANGELES, CA
NPI1609554963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-07-07
Last Update Date2023-09-27
Business Address
JUSTIN JORDAN RICHARDSON
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
Mailing Address
JUSTIN JORDAN RICHARDSON
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
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