Provider Demographics
NPI:1215553003
Name:SEARCH, RICHARD VERNON
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:VERNON
Last Name:SEARCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 EUCALYPTUS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-2509
Mailing Address - Country:US
Mailing Address - Phone:360-286-6933
Mailing Address - Fax:
Practice Address - Street 1:609 5TH ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-3316
Practice Address - Country:US
Practice Address - Phone:360-286-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician