Individual
RANDOLPH ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 SAUTERNE DR, JACKSONVILLE, FL 32210-7730
(904) 629-2722
Mailing address
6333 SAUTERNE DR, JACKSONVILLE, FL 32210-7730
(904) 629-2722
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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