Randel Edward Johanson, RDO
Randel Edward Johanson, RDO is an Optician in Chico, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1722 Mangrove Ave Ste 32Chico, CA 95926-2300
Phone: (530) 895-1474
Fax: (530) 895-1441
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence D3437 (CA) |
|---|
Record details
| NPI number | 1902988074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RDO |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
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