Individual
GLENNIS RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GLENNIS RANDAZZO
Contact information
Practice address
43 MORGANS COVE DR, ISLE OF PALMS, SC 29451-2667
(201) 213-0636
Mailing address
43 MORGANS COVE DR, ISLE OF PALMS, SC 29451-2667
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R106222
SC
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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