Individual
MRS. MARY RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
3826 BAYSHORE RD, N CAPE MAY, NJ 08204-3208
(609) 886-3636
Mailing address
3826 BAYSHORE RD, N CAPE MAY, NJ 08204-3208
(609) 886-3636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00090200
NJ
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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