Individual
RANDI DANIELLE DANTRASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 PARK VIEW LN STE 204, WHEELING, WV 26003-5406
(304) 243-1865
Mailing address
111 PARK VIEW LN STE 204, WHEELING, WV 26003-5406
(304) 243-1865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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