Zachary Richardson
Community Health Worker in Star City, WV. Individual provider (NPI-1).
NPI number1346835634
StatusActive
Last updated in NPPESMar 8, 2021
Details
- NPI
- 1346835634
- Entity type
- Individual (NPI-1)
- Name
- Zachary Richardson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2021
- Certification date
- Mar 8, 2021
- Last updated
- Mar 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
428 Congress AveStar City, WV 26505-2016
Phone 681-209-8701
Mailing address
428 Congress AveStar City, WV 26505-2016
Phone 681-209-8701
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