Individual
MARK WAYNE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
7750 MONTPELIER RD, LAUREL, MD 20723-6010
(215) 817-1298
(215) 735-0079
Mailing address
1518 WALNUT ST STE 1306, PHILADELPHIA, PA 19102-3401
(215) 817-1298
(215) 735-0079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02991
MD
Other
Enumeration date
01/04/2024
Last updated
01/07/2024
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