Individual
MR. RANDY WAYNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0640
SC
237700000X
Hearing Instrument Specialist
HA2772
CA
Other
Enumeration date
07/25/2006
Last updated
09/05/2018
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