REVONDA LASHAWN JESSUP

GASTONIA, NC
NPI1235346172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NC  505)
Enumeration Date2007-05-17
Last Update Date2023-01-24
Business Address
REVONDA LASHAWN JESSUP D.P.M.
2721 X RAY DR
GASTONIA, NC 28054-7491
Phone number: 704-874-2255
Mailing Address
REVONDA LASHAWN JESSUP D.P.M.
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1936