Individual
MR. RANDY JAMES SMITH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2549 E VALLEY PKWY, APT 1, ESCONDIDO, CA 92027-2972
(760) 432-9880
Mailing address
2549 E VALLEY PKWY, APT 1, ESCONDIDO, CA 92027-2972
(760) 432-9880
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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