Individual
CRAIG RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
9895 ERMA RD, 102, SAN DIEGO, CA 92131-4015
(845) 304-7784
Mailing address
9895 ERMA RD, 102, SAN DIEGO, CA 92131-4015
(845) 304-7784
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202C00000X
US NAVY
—
Enumeration date
06/14/2014
Last updated
06/14/2014
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