Shawnice Randle

NPI #1295128122 in Park Forest, Illinois

Provider Information

NPI Number: 1295128122
Entity Type: Individual
Name: Shawnice Randle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Mar 17, 2015
Last Updated: Mar 17, 2015

Practice Location

Address: 322 SAUGANASH ST
City: Park Forest
State: Illinois
ZIP Code: 60466-2227
Phone: (708) 262-3798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Home Health Aide	374U00000X
Homemaker	376J00000X
Nurse's Aide	376K00000X	Primary

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