Individual
RANDY LAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 GLENAIR ST, PRINCETON, WV 24739-8274
(304) 716-6366
Mailing address
360 GLENAIR ST, PRINCETON, WV 24739-8274
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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