Individual
DR. AQUEELAH RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-3275
(818) 719-4282
Mailing address
9420 RESEDA BLVD # 101, NORTHRIDGE, CA 91324-2932
(818) 312-4608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A109061
CA
Other
Enumeration date
02/11/2009
Last updated
11/30/2021
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