Individual
RANDY MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 THOMAS AVE, SAN DIEGO, CA 92109-4022
(626) 827-8844
Mailing address
908 THOMAS AVE, SAN DIEGO, CA 92109-4022
(626) 827-8844
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95030170
CA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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