Individual
LAMAR RAYMOND RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PDW
Contact information
Practice address
822 EASTERN AVE NE, WASHINGTON, DC 20019-7056
(202) 451-8915
Mailing address
822 EASTERN AVE NE, WASHINGTON, DC 20019-7056
(202) 451-8915
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
10/17/2023
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