| NPI | 1851156707 |
|---|---|
| Doing Business As | RANDOLP MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANCY WESTON CEO 435-200-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-06-25 |