STEPHANIE TANYA RANDALL

SAN DIEGO, CA
NPI1104590025
Former NameSTEPHANIE TANYA FISCHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95017990)
Enumeration Date2021-08-04
Last Update Date2024-06-03
Business Address
Mrs. STEPHANIE TANYA RANDALL NP
5160 FEDERAL BLVD
SAN DIEGO, CA 92105
Phone number: 619-515-2300
Mailing Address
Mrs. STEPHANIE TANYA RANDALL NP
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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