Samuel R Richardson
Samuel R Richardson is an Independent Duty Corpsman in Oceanside, California. Licensed in North Carolina. Registered with an NPI since 2024.
- Licensed in
- NC
- In the registry since
- 2024
Practice location Address checks out
200 Mercy CirOceanside, CA 92055
Phone: (760) 725-1288
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 04235919SR (NC) |
|---|
Record details
| NPI number | 1588426365 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 26, 2024 |
| Last updated in NPPES | January 26, 2024 |
| Certification date | January 23, 2024 |
| Mailing address | 637 Luther Dr, Iron Station, NC 28080-6780 |
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