Doctor Name: | MR. RANDALL THOMAS HOOK |
NPI Number: | 1457367716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 0001198146 |
Business Practice Address: | Bldg 172 Fort Irwin, CA - 92310 |
Business Phone Number: | 7603806027 |
Business Fax Number: | |
Mailing Address: | 1608a Tulagi Rd, BARSTOW |
State: | CA |
Postal Code: | 92311 |
Phone Number: | 7607183092 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 0001198146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |