Individual
RANDI BRENAI ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(910) 532-5391
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
90448
GA
Other
Enumeration date
03/10/2020
Last updated
10/06/2025
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