NPI 1447866074

Rosetta Randolph

Practitioner Prosthetist Baltimore, MD

Practice location

Address: 15 Wytchwood CT APT T1, Baltimore, MD 21209-4832
Phone: (410) 622-7945

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 82332 (MD)

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Registry record

NPI: 1447866074
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2020
Record last updated: 18 Sep 2020

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.