Individual
MRS. SALLY CATHERINE ALLEN-RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
217 E SANILAC RD, SUITE ONE, SANDUSKY, MI 48471-1383
(810) 648-4327
Mailing address
1380 S STATE RD, CARSONVILLE, MI 48419-9453
(810) 677-0017
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704254677
MI
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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