Individual
MRS. CATHY M RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 W FOSTER ST, SUITE 12, MELROSE, MA 02176-3810
(781) 704-8218
Mailing address
1 W FOSTER ST, SUITE 12, MELROSE, MA 02176-3810
(781) 704-8218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
309273-00
MA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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