Individual
MRS. MARQUITA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24023 CANNON ANELLO CT, KATY, TX 77493-3213
(713) 858-6865
Mailing address
1795 FRY RD # 259, KATY, TX 77449-3347
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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