Individual
ROSETTA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 WYTCHWOOD CT APT T1, BALTIMORE, MD 21209-4832
(410) 622-7945
Mailing address
15 WYTCHWOOD CT APT T1, BALTIMORE, MD 21209-4832
(410) 622-7945
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
82332
MD
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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