Individual provider · NPI-1
Merinda Doreen Randolph, Service Facil
Case Management · Chesterfield, VA
NPI number1225410327
StatusActive
Last updated in NPPESJun 24, 2015
Details
- NPI
- 1225410327
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Merinda Doreen Randolph
- Credential
- Service Facil
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2015
- Last updated
- Jun 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | 471373561 | VA | Yes |
Practice location
5113 S Jessup RdChesterfield, VA 23832-8238
Phone 804-908-7687 · Fax 888-745-0938
Mailing address
5113 S Jessup RdChesterfield, VA 23832-8238
Phone 804-908-7687 · Fax 888-745-0938
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