Individual
SYLVIA RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-2542
(202) 468-5458
Mailing address
1910 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-2542
(202) 468-5458
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14373394475
—
DC
05
—
1437394475
—
DC
Enumeration date
02/15/2023
Last updated
02/15/2023
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