Individual
MR. MELVIN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 NEW YORK AVE NE, WASHINGTON, DC 20002-3320
(202) 763-9723
Mailing address
64 NEW YORK AVE NE FL 3, WASHINGTON, DC 20002-3328
(202) 763-9723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/26/2023
Last updated
03/03/2026
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