Individual provider · Type 1 NPI
Amanda Randall
Driver · Urbana, OH
NPI number
1558086660
Active
Practice location
2201 Three Mile Rd
Urbana, OH 43078-9744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | RS488736 (OH) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1558086660
Amanda Randall's National Provider Identifier is 1558086660, issued on Oct 11, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Urbana, OH. The record was last updated on Oct 11, 2022.