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Individual

DR. DANA S RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
507 MERCHANT ST, VACAVILLE, CA 95688-4511
(707) 449-9217
(707) 449-9237
Mailing address
507 MERCHANT ST, VACAVILLE, CA 95688-4511
(707) 449-9217
(707) 449-9237

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
18607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ03350Z
BLUE SHIELD
CA
Enumeration date
10/05/2006
Last updated
07/08/2007
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