Individual
BYRON RANDALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRP
Contact information
Practice address
6340 SECURITY BLVD, GWYNN OAK, MD 21207-5173
(410) 912-4460
Mailing address
6340 SECURITY BLVD STE B34, GWYNN OAK, MD 21207-5173
(443) 912-4460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
10/26/2021
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