WALTER RANDALL

WARREN, MA
NPI1386363042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  LN100692)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
WALTER RANDALL LN100692
1210 MAIN ST
WARREN, MA 01083-9760
Phone number: 717-916-0995
Mailing Address
WALTER RANDALL LN100692
PO BOX 6284
BRATTLEBORO, VT 05302-6284
Phone number: 717-916-0995