Individual provider · NPI-1

Hope Patrice Randall

Nurse's Aide · Jonesboro, GA

NPI number1386158657
StatusActive
Last updated in NPPESNov 25, 2017

Details

NPI
1386158657
Entity type
Individual (NPI-1)
Name
Hope Patrice Randall
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 25, 2017
Last updated
Nov 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aidecn0028864295GAYes

Practice location

8394 Seven Oaks Dr
Jonesboro, GA 30236-4068

Phone 678-787-7670

Mailing address

8394 Seven Oaks Dr
Jonesboro, GA 30236-4068

Phone 678-787-7670

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