person
Randel Edward Johanson, RDO
Optician in Chico, California
NPI 1902988074

Randel Edward Johanson is a Optician based in Chico, CA and is specialized in Optician. Randel Edward Johanson practices in Chico, CA and has the professional credentials of RDO. The NPI Number for Randel Edward Johanson is 1902988074 and holds a License No. D3437 (California).

The current practice location address for Randel Edward Johanson is 1722 Mangrove Ave, Chico, CA and can be reached out via phone at 530-895-1474 and via fax at 530-895-1441.

Location: 1722 Mangrove Ave, Chico, CA, 95926-2300
person
Provider Profile Details
NPI Number
1902988074
Provider Name
Randel Edward Johanson
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
1722 Mangrove Ave, Chico, CA, 95926-2300
Phone Number
530-895-1474
Fax Number
530-895-1441
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1722 Mangrove Ave
City
State
Zip
95926-2300
Phone Number
530-895-1474
Fax Number
530-895-1441
person
Provider Business Mailing Address Details
Address
1722 Mangrove Ave
City
State
Zip
95926-2300
Phone Number
530-895-1474
Fax Number
530-895-1441
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
D3437 (California)
Definition
Definition to come...
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