Individual
ELLA ALEXANDRA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 BENNETT SPRINGS DR APT 204, COLUMBIA, MO 65201-1000
(573) 353-9196
Mailing address
2250 BENNETT SPRINGS DR APT 204, COLUMBIA, MO 65201-1000
(573) 353-9196
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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