Individual
LACREASHIA POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 41ST STREET, MARATHON, FL 33050
(305) 424-7660
Mailing address
3000 41ST STREET, MARATHON, FL 33050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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