Jeffrey Scott Randall, | |
2230 W Calle Del Sol, Phoenix, AZ 85085-7044 | |
(623) 330-7745 | |
Not Available |
Full Name | Jeffrey Scott Randall |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 2230 W Calle Del Sol, Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871926816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP044667 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Scott Randall, 2230 W Calle Del Sol, Phoenix, AZ 85085-7044 Ph: (623) 330-7745 | Jeffrey Scott Randall, 2230 W Calle Del Sol, Phoenix, AZ 85085-7044 Ph: (623) 330-7745 |
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