Individual
RAYNAE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
Mailing address
22306 CITY CENTER DR APT 3105, HAYWARD, CA 94541-2847
(209) 323-9273
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26859
CA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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