WAYNE RICHARDSON

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1225300692

Practice Address

503 S PERSHING AVE
Stockton, CA 95203

Phone: (209) 810-5864

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1225300692 is the National Provider Identifier for WAYNE RICHARDSON, a Substance Abuse Rehabilitation Facility provider located in Stockton, CA. This NPI was enumerated on February 1, 2012.
WAYNE RICHARDSON practices at 503 S PERSHING AVE, Stockton, CA 95203.

Quick Facts

NPI
1225300692
Type
Individual
Enumerated
Feb 1, 2012
Last Updated
May 9, 2025

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