Individual
DR. CHARLES EDWARD RICHARDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7709 FOOTHILL BLVD, TUJUNGA, CA 91042-2120
(818) 804-0525
(818) 352-8116
Mailing address
6738 HINDS AVE, NORTH HOLLYWOOD, CA 91606-1611
(818) 967-9874
(818) 352-8116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC33073
CA
Other
Enumeration date
10/17/2014
Last updated
10/20/2014
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