Randolph, Joanna

Randolph, Joanna is an individual health care provider with primary practice located at 20055 Lake Chabot Rd Suite 230, Castro Valley CA 94546-5331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Randolph, Joanna can be contacted via phone (510) 881-1490.

Contact Information

Primary practice address
20055 Lake Chabot Rd Suite 230 Castro Valley CA 94546-5331
Phone: (510) 881-1490
Fax: (510) 889-5806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2010009027 California

Profile Details

NPI number 1750681714
LBN Legal business name Randolph, Joanna
Credentials RN, MS, ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2010
Last updated Mar 5th, 2020 - 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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