Individual
JUANITA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 MARKET ST, YOUNGSTOWN, OH 44512-1511
(330) 333-3339
Mailing address
4401 MARKET ST, YOUNGSTOWN, OH 44512-1511
(330) 333-3339
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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