Individual
HOPE PATRICE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8394 SEVEN OAKS DR, JONESBORO, GA 30236-4068
(678) 787-7670
Mailing address
8394 SEVEN OAKS DR, JONESBORO, GA 30236-4068
(678) 787-7670
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028864295
GA
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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