Individual
RACHELE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 1ST AVE E STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1525 W 5TH ST # STC, STORM LAKE, IA 50588-3027
(319) 231-3943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
07/21/2022
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