Individual
MALIK KENNETH BERNARD RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2802 N NARROWS DR UNIT B11, TACOMA, WA 98407-1454
(253) 207-4318
Mailing address
2802 N NARROWS DR UNIT B11, TACOMA, WA 98407-1454
(253) 207-4318
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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