Individual provider · Type 1 NPI
Celestial Marie Randle
Other Technician · Fort Worth, TX
NPI number
1003328253
Active
Practice location
2312 Wyatt Ct
Fort Worth, TX 76119-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1003328253
Celestial Marie Randle's National Provider Identifier is 1003328253, issued on Oct 27, 2017. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 27, 2017.