Individual
ALICIA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 WINCHESTER HIGHLANDS DR, CANAL WINCHESTER, OH 43110-9475
(603) 915-3470
Mailing address
PO BOX 674, BRICE, OH 43109-0674
(603) 915-3470
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2809018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2809018
INDEPENDENT PROVIDER
OH
Enumeration date
07/18/2014
Last updated
07/18/2014
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