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RANDY HIDALGO
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1659780617
Individual Registrant: RANDY HIDALGO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
40 E MINARETS AVE PINEDALE, CA 93650-1239 US
Tel: 559-436-4650 Fax: --
Tel: 559-436-4650 Fax: --
Contact information for business:
40 E MINARETS AVE PINEDALE, CA 93650-1239 US
Tel: 559-436-4650 Fax: --
Tel: 559-436-4650 Fax: --
Registration Information:
NPI: 1659780617
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
