Vallembois, Randy S

Vallembois, Randy S is an individual health care provider with primary practice located at 2039 N Fine Ave , Fresno CA 93727-1512. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Vallembois, Randy S can be contacted via phone (559) 251-5557.

Contact Information

Primary practice address
2039 N Fine Ave Fresno CA 93727-1512
Phone: (559) 251-5557
Fax: (559) 251-5559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1215579230
LBN Legal business name Vallembois, Randy S
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated Oct 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215579230 NPPES
California MEDICAID XC0197370

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