Individual
DWAYNE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1450 S SULTANA AVE, ONTARIO, CA 91761-4236
(909) 986-8577
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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