Ivanna Shalane Randall
Ivanna Shalane Randall is a Community Health Worker in Bakersfield, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
2821 H StBakersfield, CA 93301-1913
Phone: (661) 546-6365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790505568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2024 |
| Last updated in NPPES | January 14, 2025 |
| Certification date | January 14, 2025 |
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