Individual
ALBERT RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NOLF IB BLDG 196, BOX 357140, SAN DIEGO, CA 92135-1740
(619) 437-9586
Mailing address
BOX 357140, NOLF IB BLDG 196, SAN DIEGO, CA 92135-1740
(619) 437-9586
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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