Individual
RANDALL LEE TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4046 TRISHA TRL, MIDLOTHIAN, VA 23112-3460
(804) 234-6043
Mailing address
4046 TRISHA TRL, MIDLOTHIAN, VA 23112-3460
(804) 234-6043
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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