Individual
CHRISTOPHER J RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 AVENUE A, OPELOUSAS, LA 70570-1248
(337) 692-9501
Mailing address
355 AVENUE A, OPELOUSAS, LA 70570-1248
(337) 692-9501
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007388422
LA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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