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Randall Childers
NPI 1265777080 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5034 Keane Dr
Carmichael, CA 95608 - Phone
- (916) 481-3367
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-05
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 California