LADARIUS MCMILLIAN

SOUTHAVEN, MS
NPI1477330777
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6525)
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
LADARIUS MCMILLIAN
526 COTTONBROOK CV
SOUTHAVEN, MS 38671-4708
Phone number: 662-275-0750
Mailing Address
LADARIUS MCMILLIAN
526 COTTONBROOK CV
SOUTHAVEN, MS 38671-4708
Phone number: 662-275-0750
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