Individual
REDONDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 RUBY RD, CRYSTAL SPRINGS, MS 39059-9131
(601) 572-9239
Mailing address
3040 RUBY RD, CRYSTAL SPRINGS, MS 39059-9131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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