Individual
KOA D RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
9137 MILL PARK AVE, TACOMA, WA 98433-2301
(808) 268-9535
Mailing address
9137 MILL PARK AVE, TACOMA, WA 98433-2301
(808) 268-9535
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
762362073340
WA
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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