Individual
ERIC MAURICE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1415 TULANE AVE., NEW ORLEANS, LA 70112
(504) 319-0122
(504) 319-0122
Mailing address
1532 MITHRA ST., NEW ORLEANS, LA 70122
(504) 319-0122
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
86486
LA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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