Individual
MRS. RANDA SUE VAJDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3740 COPPERFIELD DR., STE 105, BRYAN, TX 77802
(979) 776-1660
(979) 776-1314
Mailing address
3740 COPPERFIELD DR., STE 105, BRYAN, TX 77802
(979) 776-1660
(979) 776-1314
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
PA02991
TX
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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