Individual
MS. RENADA NOVIA LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5114 YADKIN RD, SUITE 136, FAYETTEVILLE, NC 28303-6012
(860) 997-9232
Mailing address
4591 OAKFIELD CT, FAYETTEVILLE, NC 28314-2464
(860) 997-9232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C80326
NC
335E00000X
Prosthetic/Orthotic Supplier
C80326
NC
Other
Enumeration date
09/10/2010
Last updated
09/23/2010
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