Individual
INETA MOORE RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 CROWELL ST, WEST POINT, MS 39773-7568
(662) 295-1299
(662) 492-1961
Mailing address
124 CROWELL ST, WEST POINT, MS 39773-7568
(662) 295-1299
(662) 492-1961
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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