Individual
CONNIE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
7413 OLD BEE CAVES RD, AUSTIN, TX 78735-8234
(512) 560-4536
Mailing address
4603 TRAIL CREST CIR, AUSTIN, TX 78735-6325
(512) 560-4536
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01607
TX
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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