Individual
RANDI LINN DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
607 CHESTNUT ST, CHARLESTON, WV 25309-1205
(304) 766-9136
Mailing address
607 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1205
(304) 766-9136
(304) 766-9139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
763
WV
Other
Enumeration date
10/23/2017
Last updated
01/19/2018
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