RANDI LYNNE SMALL

PUYALLUP, WA
NPI1164106548
Former NameRANDI GIBSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61440380)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
RANDI LYNNE SMALL ARNP
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-697-4000
Mailing Address
RANDI LYNNE SMALL ARNP
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-459-8231