Individual
MR. RICHARD ANTHONY SHAW
Active
Individual
MR. RICHARD ANTHONY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMFT
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2N96-341-0804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-1779723
FEIN
OK
Enumeration date
08/25/2011
Last updated
08/25/2011
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