Individual
RICHARD MARTIN PEARCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 MACIEL LN, CRESCENT CITY, CA 95531-8633
(707) 218-7961
(707) 464-6316
Mailing address
2480 MACIEL LN, CRESCENT CITY, CA 95531-8633
(707) 218-7961
(707) 464-6316
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N8178999
CA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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