Individual
DOMINIQUE PATRICK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 EDGEWATER PL STE 100, WAKEFIELD, MA 01880-1281
(855) 832-6727
Mailing address
3 CHAPMAN ST, INDIAN ORCHARD, MA 01151-2031
(413) 788-7231
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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