Randy Bland Valid NPI
Individual provider · Child Mental Illness Respite Care · Goodyear, AZ
- NPI
- 1700423902
- Type
- Individual (Type 1)
- Primary specialty
- Child Mental Illness Respite Care (Respite Care)
- Specialty group
- Respite Care Facility
- Taxonomy code
- 385HR2055X
- License number
- 10126301 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-12-06
- Last updated
- 2021-06-29
Practice location
14047 W Monte Vista Rd
Goodyear, AZ 85395
(480) 334-2092