Individual
BRIGITTE M RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 MASON ST, VACAVILLE, CA 95688-4646
(707) 454-5800
(707) 454-5871
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A44100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A441000
—
CA
Enumeration date
10/13/2006
Last updated
06/01/2015
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