Individual
DOMINIC ANTOINE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1621 17TH PL SE APT 2, WASHINGTON, DC 20020-5544
(202) 294-5322
Mailing address
1621 17TH PL SE APT 2, WASHINGTON, DC 20020-5544
(202) 294-5322
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
02/10/2025
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