Individual
ANGELA RENEE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31-012496
OH
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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