Individual
MELISSA LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 N CLAUD AVE, BOLIVAR, MO 65613-1416
(417) 844-6230
Mailing address
PO BOX 166, BOLIVAR, MO 65613-0166
(417) 844-6230
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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