Individual
JACQUELINE RANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 BRANDONS CT, HALES CORNERS, WI 53130
(414) 235-8310
Mailing address
8843 KNOLL CT, FRANKLIN, WI 53132
(262) 994-8310
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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