Randall L Payne

NPI #1164473237 in Worden, Illinois

Provider Information

NPI Number
1164473237
Entity Type
Individual
Name
Randall L Payne
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
May 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5 LAKEVIEW DR
City
Worden
ZIP Code
62097-1282
Phone
(618) 459-7142

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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