Individual
LATAYA REDFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1698 HIGHWAY 160 W, SUITE 210, FORT MILL, SC 29708-8032
(804) 547-4343
(803) 547-3914
Mailing address
1698 HIGHWAY 160 W, SUITE 210, FORT MILL, SC 29708-8032
(804) 547-4343
(803) 547-3914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3801
SC
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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