Individual
MR. JOHN DANIEL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2900 SPRING HILL AVE, MOBILE, AL 36607-1822
(251) 287-8420
Mailing address
254 BURGUNDY AVE, FAIRHOPE, AL 36532-1510
(601) 323-6865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-146621
AL
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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