Michael John Randall, 3747P1801X

NPI #1336667336 in Bellbrook, Ohio

Provider Information

NPI Number
1336667336
Entity Type
Individual
Name
Michael John Randall, 3747P1801X
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Credential
3747P1801X
Enumeration Date
Aug 30, 2017
Last Updated
May 10, 2021

Practice Location

Address
1109 MEAD RD
State
Ohio
ZIP Code
45305-8747
Phone
(937) 973-9199

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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