Individual provider · Type 1 NPI

Alwonda Deshon Randolph

Driver · Baton Rouge, LA

NPI number 1346808953 Active

Practice location

9466 Balboa Dr
Baton Rouge, LA 70810-2315

Call (318) 557-8054 Map

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Driver Primary 172A00000X007103785 (LA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1346808953

Alwonda Deshon Randolph's National Provider Identifier is 1346808953, issued on May 30, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 30, 2019.