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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDALL BLANK

Active

MR. RANDALL BLANK is a Peer Specialist healthcare provider located in SUTTER CREEK, California. NPI 1356884845 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SUTTER CREEK, CA

Registration Details

NPI Number
1356884845
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2016 (9.5211590706796 yrs)
Last Updated
Dec 1, 2016

Practice Information

Address
10877 CONDUCTOR BLVD
SUTTER CREEK, CA, 956859687
Browse CA providers · Browse ZIP 95685
Phone
2092236312
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SUTTER CREEK, CA

Name Credential NPI
CHRIS FAMULARO 1194129171
KELLY TRAVERSO 1295199206
JAMES BURKE 1427665686
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.