Individual
DR. KRISTIN SCHICK FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 510-2391
Mailing address
726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 510-2391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3193
TN
152W00000X
Optometrist
Primary
987
MS
Other
Enumeration date
07/17/2014
Last updated
08/13/2019
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