KENNETH DANIEL RICHARDSON

XENIA, OH
NPI1992981047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy136A00000X Dietetic Technician, Registered
(Licence:   00974451)
Enumeration Date2008-01-18
Last Update Date2008-01-18
Business Address
Mr. KENNETH DANIEL RICHARDSON DTR
1141 N MONROE DR
XENIA, OH 45385-1619
Phone number: 937-352-2374
Mailing Address
Mr. KENNETH DANIEL RICHARDSON DTR
1141 N MONROE DR
XENIA, OH 45385-1619
Phone number: 937-352-2374