| NPI | 1629058375 |
|---|---|
| Professional Name | RANDY LYNN NANCE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MS 10479) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 10479) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-11-20 |