Individual
JORDAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 268-3770
Mailing address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 268-3770
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
05/22/2025
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