Individual
RICHELLE CARRIE TAKEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD446402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070670
—
OH
05
—
1027567210001
—
PA
05
—
3810023888
—
WV
Enumeration date
05/27/2008
Last updated
01/18/2013
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