Individual
MRS. VILLA L HOPKINS-RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 JASMINE AVE, DAYTONA BEACH, FL 32117-3421
(386) 405-3684
Mailing address
929 JASMINE AVE, DAYTONA BEACH, FL 32117-3421
(386) 405-3684
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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