Individual
RANDALL BROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 CHEROKEE DR APT 111A, EUFAULA, AL 36027-9508
(334) 695-3022
Mailing address
108 CHEROKEE DR APT 111A, EUFAULA, AL 36027-9508
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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