Individual
LATOYA MONIQUE RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6861 SLATE STONE WAY SE, MABLETON, GA 30126-5469
(229) 220-6212
Mailing address
6861 SLATE STONE WAY SE, MABLETON, GA 30126-5469
(229) 220-6212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010408
GA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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