Individual
RANDY L JESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
29800 BRADLEY RD, SUITE 114, SUN CITY, CA 92586-6520
(951) 246-8229
Mailing address
29800 BRADLEY ROAD, SUITE 114, SUN CITY, CA 92586
(951) 246-8229
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA1572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611671400
DOL FECA PROVIDER NUMBER
CA
01
—
ZZZ80008Z
CA STATE ID NUMBER
CA
Enumeration date
04/19/2007
Last updated
05/04/2009
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