Individual
MR. RICHARD WNUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
3249 E LUPINE AVE, PHOENIX, AZ 85028-2029
(856) 979-4062
Mailing address
3249 E LUPINE AVE, PHOENIX, AZ 85028-2029
(856) 979-4062
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
528772
NJ
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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