Individual
JAYE B RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7492 SOQUEL DR STE F, APTOS, CA 95003-3857
(831) 239-9806
Mailing address
1111 PLEASANT VALLEY RD, APTOS, CA 95003-9714
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
9873
CA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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