DEEANNE CONEA RANDOLPH LMP NPI 1215178801

NPI Information

Deeanne Conea Randolph, LMP is a specialist in Tacoma, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Deeanne Conea Randolph, LMP NPI is 1215178801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 MARKET STREET
SERENITY SPA
TACOMA, WA
ZIP 98402
Phone: (253) 473-7830

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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