Individual
LINDA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 12TH ST NW, WASHINGTON, DC 20009-4404
(202) 667-4109
Mailing address
2234 12TH ST NW, WASHINGTON, DC 20009-4404
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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