Individual
RANDAL FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
4919 12TH AVE S, SEATTLE, WA 98108-1822
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
60991389
WA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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