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Organization
WALK RUN RANDALL
Active
Organization
WALK RUN RANDALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA RENE RANDALL DPM,AACFAS (OWNER)
(267) 934-6996
Entity
Organization
Contact information
Practice address
28829 PUJOL ST APT 718, TEMECULA, CA 92590-6710
(267) 934-6996
Mailing address
28829 PUJOL ST APT 718, TEMECULA, CA 92590-6710
(267) 934-6996
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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