Randolph, Theodora Lugene
Randolph, Theodora Lugene is an sole proprietor health care provider with primary practice located at 3514 E Tropicana Ave Ste 2C , Las Vegas NV 89121-7351. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Randolph, Theodora Lugene can be contacted via phone (029) 923-2897.Contact Information
Primary practice address
3514 E Tropicana Ave Ste 2C
Las Vegas NV 89121-7351
Phone: (029) 923-2897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CI5305 | Nevada |
Profile Details
| NPI number | 1245570027 |
|---|---|
| LBN Legal business name | Randolph, Theodora Lugene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2013 |
| Last updated | Oct 13th, 2023 - about 3 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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