| NPI | 1780807982 |
|---|---|
| Other Name | J RANDALL WHITE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: GA 12960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 12960) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |