Individual
PAUL LEE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 PARK AVE, RICHMOND, VA 23223-4816
(804) 839-7502
Mailing address
932 WELLSTON CT, GLEN ALLEN, VA 23059-2615
(804) 356-3991
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T19200721
VA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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