Individual
MRS. RANDALL MARIE SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4TH STREET, FORT IRWIN, CA 92310-5109
(760) 380-6358
Mailing address
PO BOX 105109, FORT IRWIN, CA 92310-5109
(760) 380-6358
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
533983
CA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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