Organization
NIK JEFFERSON OOI, LLC
Active
Other names
Randolph Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NIK J OOI AGNP, PMHNP (NURSE PRACTITIONER)
(434) 409-7543
Entity
Organization
Contact information
Practice address
3901 RANDOLPH RD, SILVER SPRING, MD 20902-1052
(301) 949-4994
Mailing address
3901 RANDOLPH RD, SILVER SPRING, MD 20902-1052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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