Provider Demographics
NPI:1215025374
Name:RANALLI, JOSEPHINE F
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:F
Last Name:RANALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9713 KINGS GRANT DR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-8320
Mailing Address - Country:US
Mailing Address - Phone:843-267-1471
Mailing Address - Fax:843-651-1919
Practice Address - Street 1:9713 KINGS GRANT DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-8320
Practice Address - Country:US
Practice Address - Phone:843-267-1471
Practice Address - Fax:843-651-1919
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other