Individual
RANDALL DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 E GLEED RD, NACHES, WA 98937-9626
(509) 952-2860
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 574-5963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60663306
WA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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