Jeremy Randall, B.A.

NPI #1952884850 in Indio, California

Provider Information

NPI Number: 1952884850
Entity Type: Individual
Name: Jeremy Randall, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: B.A.
Enumeration Date: Sep 7, 2018
Last Updated: Sep 7, 2018

Practice Location

Address: 81557 DR CARREON BLVD STE C9
City: Indio
State: California
ZIP Code: 92201-5562
Phone: (760) 391-6999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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