NPI 1003328253

Celestial Marie Randle

Practitioner Other Technician Fort Worth, TX

Practice location

Address: 2312 Wyatt CT, Fort Worth, TX 76119-3104
Phone: (817) 907-2899

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Texas →

Registry record

NPI: 1003328253
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2017
Record last updated: 27 Oct 2017

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.