MRS. Jacqueline Ann Randolph, IBCLC,RLC

NPI #1124216395 in Murfreesboro, Tennessee

Provider Information

NPI Number: 1124216395
Entity Type: Individual
Name: MRS. Jacqueline Ann Randolph, IBCLC,RLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: IBCLC,RLC
Enumeration Date: Oct 11, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 4131 AVALON PL
City: Murfreesboro
State: Tennessee
ZIP Code: 37128-4520
Phone: (615) 895-0068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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