Individual
LAKYSHA N HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA, CPT
Contact information
Practice address
1478 BENTLEY CIR, FORT WALTON BEACH, FL 32547-1975
(850) 855-8439
Mailing address
1478 BENTLEY CIR, FORT WALTON BEACH, FL 32547-1975
(850) 855-8439
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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