Individual
FLOYD RANDEL GUMMERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 HEADSTART WAY, BISBEE, AZ 85603-9764
(307) 371-4843
(307) 371-4843
Mailing address
400 HEADSTART WAY, BISBEE, AZ 85603-9764
(307) 371-4843
(307) 371-4843
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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