THERESA RANDALL
Contractor
Active
Individual
NPI: 1306474952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1306474952 is the National Provider Identifier for THERESA RANDALL, a Contractor provider located in Wauwatosa, WI. This NPI was enumerated on March 30, 2020.
THERESA RANDALL practices at 9455 W WATERTOWN PLANK RD FL 4, Wauwatosa, WI 53226.
Quick Facts
- NPI
- 1306474952
- Type
- Individual
- Enumerated
- Mar 30, 2020
- Last Updated
- Mar 30, 2020
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