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NPI Code Detail

MEDICARE: MS. RHONDA ALICIA RICHARDSON RD, MSC, MBA

MEDICARE:  MS. RHONDA ALICIA RICHARDSON  RD, MSC, MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD.09431OH

General Provider Information

NPI Number : 1710846530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHONDA ALICIA RICHARDSON RD, MSC, MBA
Provider Business Mailing Address
First Line : 463 EAGLE TRCE
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-6117
Country : US
Telephone Number : 440-773-7444
Fax Number :
Provider Business Practice Location Address
First Line : 463 EAGLE TRCE
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-6117
Country : US
Telephone Number : 440-773-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ MS. RHONDA ALICIA RICHARDSON RD, MSC, MBA” Practice Location

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