Individual
STACY RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OAK WOOD LN, COVINGTON, GA 30016-4240
(470) 478-8059
Mailing address
20 OAK WOOD LN, COVINGTON, GA 30016-4240
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
IL
374J00000X
Doula
Primary
SC104
IL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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