Individual
BIANCA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6704 FULLERTON AVE, CLEVELAND, OH 44105-3449
(216) 820-0101
Mailing address
18109 MAPLEBORO AVE, MAPLE HEIGHTS, OH 44137-2720
(216) 820-0101
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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