Most Relevant Information
Provider Data
| NPI Number: | 1003674987 |
| Provider Name: | RANDALL KYLE LYNN |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2024 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
11424 CHAMBERLAINE WAY
ADELANTO
CA
923012869
Practice Location Phone/Fax
| Phone: | 7602460934 |
| Fax: |
Provider Mailing Location
11424 CHAMBERLAINE WAY
ADELANTO
CA
923012869
Provider Mailing Phone/Fax
| Phone: | 7602460934 |
| Fax: |