Blair-Randolph, Joanne

Blair-Randolph, Joanne is an sole proprietor health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Vocational Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blair-Randolph, Joanne can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 793871 California
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 189021 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95019487 California

Profile Details

NPI number 1144351123
LBN Legal business name Blair-Randolph, Joanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Nov 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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