Individual
MR. SCOTT RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 353-3000
Mailing address
3106 MAGNOLIA ST, OAKLAND, CA 94608-4416
(269) 579-7978
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95100834
CA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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