RANDALL UYLESSES MCLAIN

FPO, AP
NPI1841580669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- RANDALL UYLESSES MCLAIN IDC
PSC 466 BOX 3
FPO, AP 96595
Phone number: 970-640-6016
Mailing Address
-- RANDALL UYLESSES MCLAIN IDC
PSC 466 BOX 3
FPO, AP 96595
Phone number: