Individual
SUMMER BROOCK PRIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 MA DIXON RD, PERRY, FL 32348-7825
(850) 843-6954
Mailing address
857 MA DIXON RD, PERRY, FL 32348-7825
(850) 843-6954
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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