Individual
TERRI LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E BURGESS RD APT 64A, PENSACOLA, FL 32503-7302
(504) 515-2810
Mailing address
200 E BURGESS RD APT 64A, PENSACOLA, FL 32503-7302
(504) 515-2810
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L22000173825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L22000173825
LLC DOCUMENT
FL
Enumeration date
05/16/2022
Last updated
05/16/2022
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