Individual
MELANIE MARIE HOSBROUGH-RANDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. TATTOO ARTIST
Contact information
Practice address
12 VALLEY FORGE PLZ, WASHINGTON, IL 61571-2354
(309) 885-2264
Mailing address
709 SIMON ST, WASHINGTON, IL 61571-9262
(309) 885-2264
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14054
IL
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
08/22/2022
Last updated
08/19/2024
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