Individual
MRS. JOANNA CHRISTINE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
Mailing address
130 SW 62ND ST, #529B, GAINESVILLE, FL 32607-6038
(706) 254-2454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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