Individual
MR. RANDOLPH GREGORY WARKENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT1
Contact information
Practice address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 868-0505
Mailing address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 868-0505
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
00026861
CA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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