Individual
MR. STEPHAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
17 MEMORIAL DR STE 3, PATERSON, NJ 07505-1065
(856) 220-3477
Mailing address
4 VERMELLA WAY APT 354, UNION, NJ 07083-2654
(747) 238-8620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
01/17/2025
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