MR. Randall Blank
NPI #1356884845 in Sutter Creek, California
Provider Information
- NPI Number
- 1356884845
- Entity Type
- Individual
- Name
- MR. Randall Blank
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Dec 1, 2016
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 10877 CONDUCTOR BLVD
- City
- Sutter Creek
- State
- California
- ZIP Code
- 95685-9687
- Phone
- (209) 223-6312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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