ROWDY LEE RANDOLPH

SAINT ALBANS, WV
NPI1063273381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-01-23
Last Update Date2024-01-23
Business Address
ROWDY LEE RANDOLPH
113 EDGAR ST
SAINT ALBANS, WV 25177-2211
Phone number: 304-733-1094
Mailing Address
ROWDY LEE RANDOLPH
113 EDGAR ST
SAINT ALBANS, WV 25177-2211
Phone number: