Individual
ZACHARY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 CONGRESS AVE, STAR CITY, WV 26505-2016
(681) 209-8701
Mailing address
428 CONGRESS AVE, STAR CITY, WV 26505-2016
(681) 209-8701
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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