Individual
AZIBO SALI RICHARDSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 HARBISON DR UNIT 307, VACAVILLE, CA 95687-3932
(702) 235-1295
Mailing address
1010 HELEN POWER DR # 1057, VACAVILLE, CA 95687-3504
(702) 235-1295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
38751
CA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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