Individual
MS. CLAUDIA J RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18906 NUTMEG ST. SW, ROCHESTER, WA 98579
(360) 858-7483
(360) 858-7483
Mailing address
18906 NUTMEG ST. SW, ROCHESTER, WA 98579
(360) 858-7483
(360) 858-7483
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9074
WA
225700000X
Massage Therapist
Primary
MA000090754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107553
WORKERS COMPENSATION
WA
01
—
384265100000
PREMERA
WA
Enumeration date
01/16/2007
Last updated
04/25/2011
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