Individual
MONICA MURRAY LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 IOWA LN, TALLAHASSEE, FL 32305-3482
(850) 364-3511
Mailing address
PO BOX 1743, QUINCY, FL 32353-1743
(850) 727-2555
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
23009
FL
372600000X
Adult Companion
23009
FL
376J00000X
Homemaker
Primary
23009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763362
—
FL
Enumeration date
08/26/2019
Last updated
08/26/2019
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