Individual
LINDA SUE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
404 E 26TH ST STE 103, TACOMA, WA 98421-1312
(253) 906-4688
Mailing address
404 E 26TH ST STE 103, TACOMA, WA 98421-1312
(253) 906-4688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017283
WA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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