NPI 1013594894

Jacqueline Randa

Practitioner Attendant Care Provider Hales Corners, WI

Practice location

Address: 5155 Brandons CT, Hales Corners, WI 53130
Phone: (414) 235-8310
Mailing address: 8843 Knoll CT, Franklin, WI 53132

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Wisconsin →

Registry record

NPI: 1013594894
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2021
Record last updated: 26 Mar 2021

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.