Individual
MR. RANDY T VIRAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TAMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00147624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00147624
NURSING LICENSE
WA
Enumeration date
12/28/2005
Last updated
07/08/2007
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