Individual
CHERYL LYNN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 448-1500
(415) 461-4229
Mailing address
300 PROFESSIONAL CENTER DR, SUITE 311, NOVATO, CA 94947-4334
(415) 448-1500
(415) 892-8732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
423561
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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