Randolph, Jennifer Lynn

Randolph, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 1300 W 6Th St Ste 1A , San Pedro CA 90732-3531. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Randolph, Jennifer Lynn can be contacted via phone (310) 833-2557.

Contact Information

Primary practice address
1300 W 6Th St Ste 1A San Pedro CA 90732-3531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC16368 California

Profile Details

NPI number 1013314533
LBN Legal business name Randolph, Jennifer Lynn
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2014
Last updated Dec 3rd, 2021 - about 5 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.

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