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Individual

MS. RESHONDA LATOYA ALFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1302 MEADOWBROOK AVE, COLUMBIA, MS 39429-2204
(769) 223-2678
Mailing address
1302 MEADOWBROOK AVE, COLUMBIA, MS 39429-2204
(769) 223-2678

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
20100495
LA
164W00000X
Licensed Practical Nurse
Primary
P325240
MS

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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