Individual
MR. RICHARD WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
756 BROHARD RD, RAY, OH 45672-9649
(740) 418-4790
Mailing address
756 BROHARD RD, RAY, OH 45672-9649
(740) 418-4790
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
324812761103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2985837
—
OH
Enumeration date
11/13/2009
Last updated
11/13/2009
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