Individual
MARLO RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 W MANCHESTER AVE, SUITE 113, LOS ANGELES, CA 90045-4200
(323) 307-6429
Mailing address
6060 W MANCHESTER AVE, SUITE 113, LOS ANGELES, CA 90045-4200
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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