Individual
DR. FONDA LOVEVETTE READUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1090 LAKE VILLAGE CIR, BRANDON, MS 39047-6761
(601) 919-8800
(601) 919-8808
Mailing address
1090 LAKE VILLAGE CIR, BRANDON, MS 39047-6761
(601) 919-8800
(601) 919-8808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1170
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03326555
—
MS
Enumeration date
10/29/2010
Last updated
06/11/2013
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