Individual
RANDI LEIGH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 OAK LAKE BLVD, MIDLOTHIAN, VA 23112-3998
(804) 585-6723
Mailing address
2306 KROSSRIDGE CT, NORTH CHESTERFIELD, VA 23236-5215
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
VA
224Y00000X
Clinical Exercise Physiologist
Primary
807155
IN
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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