Individual
FERNANDO LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 HOMESTEAD DR, PETERSBURG, VA 23805-2342
(804) 861-1249
Mailing address
3101 HOMESTEAD DR, PETERSBURG, VA 23805-2342
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
PGP-0633605
VA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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