Randolph, Alwonda Deshon

Randolph, Alwonda Deshon is an sole proprietor health care provider with primary practice located at 9466 Balboa Dr , Baton Rouge LA 70810-2315. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Randolph, Alwonda Deshon can be contacted via phone (318) 557-8054.

Contact Information

Primary practice address
9466 Balboa Dr Baton Rouge LA 70810-2315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Driver 172A00000X 007103785 Louisiana

Profile Details

NPI number 1346808953
LBN Legal business name Randolph, Alwonda Deshon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers