Individual
ARIANA LEE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3731 6TH AVE STE 103, SAN DIEGO, CA 92103-4383
(619) 291-3515
Mailing address
113 W G ST # 518, SAN DIEGO, CA 92101-6096
(619) 535-8527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
01/30/2020
Last updated
02/02/2020
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