Individual
KEATREDGE RE'TONDA LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8002 GUNN HWY, TAMPA, FL 33626-1603
(813) 886-7673
(813) 792-7895
Mailing address
151 SHARONWOOD DR, CRAWFORDVILLE, FL 32327-0342
(850) 421-2101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9181344
FL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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