Individual
CHESA RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3238
(909) 567-2221
(909) 763-3216
Mailing address
11660 CHURCH ST APT 492, RANCHO CUCAMONGA, CA 91730-8945
(202) 247-0653
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/30/2024
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