NPI 1093249187

Suzanne Marie Randall, LMT

Practitioner Prevention Professional Dunmore, PA

Practice location

Address: 439 E Drinker St, Dunmore, PA 18512-2483
Phone: (570) 955-5435

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence MSG010857 (PA)

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Registry record

NPI: 1093249187
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2017
Record last updated: 14 Apr 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.