Individual
SHAUNDA ELZABETH RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 34TH ST W, SUITE 310, BRADENTON, FL 34210-3657
(941) 580-4654
(941) 746-1774
Mailing address
6050 34TH ST W, SUITE 310, BRADENTON, FL 34210-3657
(941) 580-4654
(941) 746-1774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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