Randolph, Karen Ann
Randolph, Karen Ann is an sole proprietor health care provider with primary practice located at 5 Bon Air Rd Ste C-116 , Larkspur CA 94939-1143. She recently has only one registered license in Other Service Providers / Reflexologist, which is considered as her primary health care specialty. Randolph, Karen Ann can be contacted via phone (510) 417-5773.Contact Information
Primary practice address
5 Bon Air Rd Ste C-116
Larkspur CA 94939-1143
Phone: (510) 417-5773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Reflexologist | 173C00000X | 703556 | California |
Profile Details
| NPI number | 1629301874 |
|---|---|
| LBN Legal business name | Randolph, Karen Ann |
| Credentials | CMT, ED D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2009 |
| Last updated | Sep 4th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629301874 | NPPES |
| California | Other | 225700000X | MASSAGE THERAPIST |
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