Theodora Lugene Randolph

NPI 1245570027 - Psychologist - 103TB0200X

NPI Details
NPI 1245570027
Gender Female
Enumeration Date 02/15/2013
Last Updated 02/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
709 FOREST HAVEN WAY
HENDERSON NV, 89011-1898, US
Phone (702) 357-0750
Fax
Business Location
709 FOREST HAVEN WAY
HENDERSON NV, 89011-1898, US
Phone (702) 357-0750
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State
License Number
Remove 1245570027 NPI Number
 

According to our database, Ms. Theodora Lugene Randolph NPI is 1245570027, taxonomy code is 103TB0200X Theodora Lugene Randolph physically located at 709 Forest Haven Way, Henderson NV, 89011-1898. NPI Number Theodora Lugene Randolph has the Individual type.

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1245570027 NPI number is provided on an as is basis without warranty of any kind. 1245570027 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora Lugene Randolph are for informational purposes only.