Individual
HANNAH RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
550 TECHNICAL BLVD, HASTINGS, NE 68901-8362
(402) 460-9774
Mailing address
215 DONEGAL RD, AURORA, NE 68818-1434
(402) 460-9774
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1705
NE
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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