Individual
CLINT RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3209 N ALAMEDA ST, COMPTON, CA 90222-1406
(323) 242-5000
Mailing address
3209 N ALAMEDA ST, COMPTON, CA 90222-1406
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
05/04/2015
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