Individual
MRS. MARY MARGARET WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10050 BEULAH RD, PENSACOLA, FL 32526-4171
(850) 261-2088
Mailing address
10050 BEULAH RD, PENSACOLA, FL 32526-4171
(850) 261-2088
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/26/2021
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