Individual
ASHLEE RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HAWK RIDGE DR, HAMBURG, PA 19526-9219
(610) 562-3066
(610) 562-3125
Mailing address
250 JUDE CT APT 303, FOGELSVILLE, PA 18051-7010
(909) 549-9234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT021495
PA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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