Individual
ARNIESHA M RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 RIO GRANDE DR APT 2004, PLANO, TX 75075-6748
(314) 456-9791
Mailing address
1515 RIO GRANDE DR APT 2004, PLANO, TX 75075-6748
(314) 456-9791
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
01/11/2022
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