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MR. RICHARD LEE WISE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP

Contact information

Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4480
Mailing address
33201 WINDTREE AVE, WILDOMAR, CA 92595-8235
(909) 674-4937

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
RCP7097
CA

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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