Walter Randall, LN100692
Walter Randall, LN100692 is a Licensed Practical Nurse in Warren, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2022
Practice location Address checks out
1210 Main StWarren, MA 01083-9760
Phone: (717) 916-0995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LN100692 (MA) |
|---|
Record details
| NPI number | 1386363042 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LN100692 |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2022 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 24, 2022 |