Individual
DARRYL E RADFORD SR.
Active
Individual
DARRYL E RADFORD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REVEREND
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1763096
OH
174H00000X
Health Educator
1763096
OH
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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