Individual
MS. VERONICA DENISE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
29431 CHARLOTTE HALL ROAD, VAMC CLINIC, CHARLOTTTE HALL, MD 20622
(301) 884-7102
(301) 884-7106
Mailing address
PO BOX 296, CLINTON, MD 20735-0296
(301) 996-7709
(301) 884-7106
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R110705
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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