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Individual

ALISON L RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8735 SIERRA COLLEGE BLVD, SUITE 200, ROSEVILLE, CA 95661-5992
(916) 773-3376
(916) 773-3353
Mailing address
8735 SIERRA COLLEGE BLVD, SUITE 200, ROSEVILLE, CA 95661-5992
(916) 773-3376
(916) 773-3353

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11930
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA11930
CA
Enumeration date
09/24/2006
Last updated
12/30/2021
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