RANDEL EDWARD JOHANSON

CHICO, CA
NPI1902988074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CA  D3437)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- RANDEL EDWARD JOHANSON R.D.O.
1722 MANGROVE AVE SUITE 32
CHICO, CA 95926-2300
Phone number: 530-895-1474
Mailing Address
-- RANDEL EDWARD JOHANSON R.D.O.
1722 MANGROVE AVE SUITE 32
CHICO, CA 95926-2300
Phone number: 530-895-1474