| Miss Tiffany Randle, | |
|
1104 Realm Ln, Lawrenceville, GA 30044-2676 | |
| (404) 438-5152 | |
| Not Available |
| Full Name | Miss Tiffany Randle |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1104 Realm Ln, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144825522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT011209 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tiffany Randle, 1104 Realm Ln, Lawrenceville, GA 30044-2676 Ph: (404) 438-5152 | Miss Tiffany Randle, 1104 Realm Ln, Lawrenceville, GA 30044-2676 Ph: (404) 438-5152 |
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