Randall, Evangeline R

Randall, Evangeline R is an sole proprietor health care provider with primary practice located at 1321 E Poplar St , Deming NM 88030-4807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Randall, Evangeline R can be contacted via phone (575) 546-5951.

Contact Information

Primary practice address
1321 E Poplar St Deming NM 88030-4807
Phone: (575) 546-5951
Fax: (575) 546-5994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT4290 New Mexico

Profile Details

NPI number 1235807843
LBN Legal business name Randall, Evangeline R
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2021
Last updated Aug 31st, 2021 - about 4 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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