Individual
CHANDRA LEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 HIGH ST, MEDFORD, MA 02155-3820
(781) 391-8222
(781) 395-0060
Mailing address
16 HIGH ST, MEDFORD, MA 02155-3820
(781) 391-8222
(781) 395-0060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6602
MA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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