Wayne B Richardson
Wayne B Richardson is a Substance Abuse Rehabilitation Facility in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
503 S Pershing AveStockton, CA 95203-3236
Phone: (209) 810-5864
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Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1225300692 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2012 |
| Last updated in NPPES | May 9, 2025 |
| Certification date | May 9, 2025 |
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