Individual
RANDON ELEXUS MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22414 BALMORAL DR, DENHAM SPRINGS, LA 70726-8828
(225) 998-4883
Mailing address
22414 BALMORAL DR, DENHAM SPRINGS, LA 70726-8828
(225) 998-4883
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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