Individual
BRANDON MICHAEL RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 CIVIC CENTER BLVD., HOUMA, LA 70360
(985) 713-7408
Mailing address
235 CIVIC CENTER BLVD., HOUMA, LA 70360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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