JOHNNIE LYNN RANDOLPH

THIBODAUX, LA
NPI1598658502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2025-05-29
Last Update Date2025-05-29
Business Address
JOHNNIE LYNN RANDOLPH
246 SHADOW POINTE RD
THIBODAUX, LA 70301-8448
Phone number: 985-688-8264
Mailing Address
JOHNNIE LYNN RANDOLPH
10202 PERKINS ROWE STE E
BATON ROUGE, LA 70810-2067
Phone number: 985-601-1343