Individual
AMAYA CECILIA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Mailing address
7404 W HOOD PL, KENNEWICK, WA 99336-6718
(509) 579-4080
(509) 579-4788
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
12/30/2025
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