Search › West Virginia › 374U00000X
Dominique Richardson
NPI 1639068851 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5304 Edds Ln
Charleston, WV 25313 - Phone
- (304) 541-8375
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia