Individual
RANDE ALEXIS HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8762 MC GLOTHLIN ST, JACKSONVILLE, FL 32210-6438
(904) 776-5966
Mailing address
8762 MC GLOTHLIN ST, JACKSONVILLE, FL 32210-6438
(904) 776-5966
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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