Individual
JOANNA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, ANP
Contact information
Practice address
20055 LAKE CHABOT RD, SUITE 230, CASTRO VALLEY, CA 94546-5331
(510) 881-1490
(510) 889-5806
Mailing address
450 SUTTER ST, SAN FRANCISCO, CA 94108-4206
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2010009027
CA
Other
Enumeration date
10/25/2010
Last updated
03/05/2020
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