Individual
KORTNEY JAMAL RICHARDSON READUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10332 MAIN ST # 344, FAIRFAX, VA 22030-2410
(815) 272-6652
Mailing address
10332 MAIN ST # 344, FAIRFAX, VA 22030-2410
(815) 272-6652
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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