Individual provider · Type 1 NPI

John Randall Revellame, TECHNICIAN

Technician · Rancho Cucamonga, CA

NPI number 1982554986 Active

Practice location

7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730-1156

Specialties and licenses

TaxonomyCodeLicense
Technician Primary 374700000XNone listed

Technician: (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, th…

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About NPI 1982554986

John Randall Revellame, TECHNICIAN's National Provider Identifier is 1982554986, issued on Jan 29, 2026. The primary taxonomy on file is Technician (374700000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jan 31, 2026.