TARA LYNN RANDOL

PRINCE FREDERICK, MD
NPI1154971182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MD  09215)
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
TARA LYNN RANDOL
1305 DARES BEACH RD
PRINCE FREDERICK, MD 20678-4208
Phone number: 443-550-8345
Mailing Address
TARA LYNN RANDOL
3808 BOSTWYCK DR
FUQUAY VARINA, NC 27526-7525
Phone number: 808-346-5651