Individual
JESSICA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 W 12TH ST, SUITE 201, LITTLE ROCK, AR 72204-2404
(501) 663-1837
Mailing address
7107 W 12TH ST, SUITE 201, LITTLE ROCK, AR 72204-2404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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