Individual
MR. RONNIE LEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8499
Mailing address
103 BRAGG BLVD, ODENTON, MD 21113-2629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156945
MD
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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