Individual
MR. TITUS RANDLE II
Active
Individual
MR. TITUS RANDLE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
006674536
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
006674536
LA
347C00000X
Private Vehicle
006674536
LA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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