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Individual

DANNIELLE F RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114
(617) 367-4800
(617) 723-7028
Mailing address
3320 EXECUTIVE DR, STE 111, RALEIGH, NC 27609-7445
(919) 876-2427
(919) 850-9234

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2302
NC
152W00000X
Optometrist
4880
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110091822A
MA
Enumeration date
08/09/2011
Last updated
04/28/2022
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