Individual
MS. JENCI RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
601 N MAIN ST STE 1, ELLENSBURG, WA 98926-6305
(509) 962-9575
Mailing address
PO BOX 880, CLE ELUM, WA 98922-0880
(419) 234-6629
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60518616
WA
Other
Enumeration date
10/21/2014
Last updated
12/11/2019
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