Search › Michigan › 343900000X
Stacy Randall
NPI 1841952215 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6538 Vaughan St
Detroit, MI 48228 - Phone
- (313) 825-5411
- Organisation at this address
- Rise An Shine Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Female
- Record last updated
- 2021-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan