Individual
RANDOLPH LEE ASHLEY SR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11066 TRACI LYNN DR, JACKSONVILLE, FL 32218-7701
(904) 982-0982
Mailing address
11066 TRACI LYNN DR, JACKSONVILLE, FL 32218-7701
(904) 982-0982
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
124042700
FL
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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