Amanda Randall is a Driver based in Urbana, OH. Amanda Randall practices in Urbana, OH. The NPI Number for Amanda Randall is 1558086660 and holds a License No. RS488736 (Ohio).
The current practice location address for Amanda Randall is 2201 Three Mile Rd, Urbana, OH and can be reached out via phone at 937-869-5771.
Location: 2201 Three Mile Rd, Urbana, OH, 43078-9744
Provider Profile Details
NPI Number
1558086660
Provider Name
Amanda Randall
Credential
Provider Entity Type
Individual
Gender
Female
Address
2201 Three Mile Rd, Urbana, OH, 43078-9744
Phone Number
937-869-5771
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RS488736 | 01 | OH | DRIVER |
Provider Business Practice Location Address Details
Address
2201 Three Mile Rd
City
State
Zip
43078-9744
Phone Number
937-869-5771
Fax Number
Provider Business Mailing Address Details
Address
2201 Three Mile Rd
City
State
Zip
43078-9744
Phone Number
937-869-5771
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
RS488736 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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