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Randall Kenneth Dewitt Herman, MED
Student in an Organized Health Care Education/Training Program in Point Reyes Station, California
NPI 1760612444

Randall Kenneth Dewitt Herman is a Student in an Organized Health Care Education/Training Program based in Point Reyes Station, CA. Randall Kenneth Dewitt Herman practices in Point Reyes Station, CA and has the professional credentials of MED. The NPI Number for Randall Kenneth Dewitt Herman is 1760612444 and holds a License No. (California).

The current practice location address for Randall Kenneth Dewitt Herman is 100 6Th Street, Point Reyes Station, CA and can be reached out via phone at 415-473-3809 and via fax at 415-473-3828.

Location: 100 6Th Street, Point Reyes Station, CA, 94956-0331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760612444
Provider Name
Randall Kenneth Dewitt Herman
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
100 6Th Street, Point Reyes Station, CA, 94956-0331
Phone Number
415-473-3809
Fax Number
415-473-3828
Provider Enumeration Date
07/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 6Th Street
City
Point Reyes Station
State
California
Zip
94956-0331
Phone Number
415-473-3809
Fax Number
415-473-3828
person
Provider Business Mailing Address Details
Address
100 6Th Street
City
Point Reyes Station
State
California
Zip
94956-0331
Phone Number
415-473-3809
Fax Number
415-473-3828
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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