Individual
ALEXIS RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BEE ST, CHARLESTON, SC 29425-0001
(843) 876-7645
Mailing address
13512 SANDERLING PL, GERMANTOWN, MD 20874-3468
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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