Individual
DANIELLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 575-5399
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 575-5399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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