Jonathan Randall

NPI 1134674880 · on the registry since 2016

Practice

Address: 36397 N Gantzel Rd
#102
San Tan Valley, AZ 85140
Phone: (480) 567-2987
Fax: (480) 347-0240
Organisation at this address: Inbalance Pt Llc
Inbalance Home Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona