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Azibo Richardson
NPI 1932955473 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3501 Harbison Dr Unit 307
Vacaville, CA 95687 - Phone
- (702) 235-1295
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-25
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 California