Individual
MS. CHANTI RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.T.P
Contact information
Practice address
6677 SANTA MONICA BLVD APT 1307, LOS ANGELES, CA 90038-1392
(314) 882-5568
Mailing address
6677 SANTA MONICA BLVD APT 1307, LOS ANGELES, CA 90038-1392
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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