NPI 1073221362
Juanita Randle
Practice location
- Address
- 4401 Market St, Youngstown, OH 44512-1511
- Phone
- (330) 333-3339
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073221362
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Nov 2022
- Record last updated
- 7 Nov 2022
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.