Individual
JAMIE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3445 ORCHARD PARK RD, ORCHARD PARK, NY 14127-1660
(716) 674-0821
Mailing address
3445 ORCHARD PARK RD, ORCHARD PARK, NY 14127-1660
(716) 674-0821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016426
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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