Individual
MS. RANDI BETH LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2005 VALPARAISO ST, SUITE 209, VALPARAISO, IN 46383-3329
(219) 252-5464
(219) 728-1860
Mailing address
37 SHORE DR, PORTAGE, IN 46368-1008
(219) 929-8726
(219) 728-1860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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