Individual
MR. RAYMOND EUGENE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 LANTON ROAD, WEST PLAINS, MO 65775
(417) 256-2570
(417) 256-6497
Mailing address
1015 LANTON ROAD, WEST PLAINS, MO 65775
(417) 256-2570
(417) 256-6497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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