Individual
MS. CYNTHIA JENE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
36 WAMPLER AVE, DAYTON, OH 45405-5122
(937) 278-3473
Mailing address
36 WAMPLER AVE, DAYTON, OH 45405-5122
(937) 278-3473
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2402251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2402251
—
OH
Enumeration date
04/04/2007
Last updated
07/09/2007
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