Individual
LISA M DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2828 DEESE LN, COTTONDALE, FL 32431-7356
(850) 693-5135
Mailing address
2828 DEESE LN, COTTONDALE, FL 32431-7356
(850) 693-5135
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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