NPI 1003215872

Diana Randolph-Merchant

Practitioner Student in an Organized Health Care Education/Training Program Lynn, MA

Practice location

Address: 95 Pleasant St, Lynn, MA 01901-1524
Phone: (781) 267-4444
Mailing address: 126 Highland Ave, Salem, MA 01970-2724

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003215872
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2014
Record last updated: 18 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.