MS. Randi Beth Light, MS

NPI #1235586660 in Valparaiso, Indiana

Provider Information

NPI Number: 1235586660
Entity Type: Individual
Name: MS. Randi Beth Light, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS
Enumeration Date: May 16, 2016
Last Updated: May 16, 2016

Practice Location

Address: 2005 VALPARAISO ST
Address 2: SUITE 209
City: Valparaiso
State: Indiana
ZIP Code: 46383-3329
Phone: (219) 252-5464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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