Individual
RANDALL JOSEPH MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-7300
Mailing address
1755 WALNUT TREE LN, CHICO, CA 95928-6979
(530) 892-2641
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
384655
CA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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