Individual
MS. SANDRA L RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CA, L.AC,
Contact information
Practice address
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07675
(291) 445-9373
Mailing address
9 STAPLES DR, WESTWOOD, NJ 07675-2151
(201) 497-8651
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00020400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00020400
STATE LICENSURE
NJ
Enumeration date
01/30/2007
Last updated
07/08/2007
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